James D. Ralston|Irl B. Hirsch|James Hoath|Mary Mullen|Allen Cheadle|Harold I. Goldberg
Web-Based Collaborative Care for Type 2 Diabetes
Group Health Cooperative|University of Washington|University of Washington|University of Washington|University of Washington|University of Washington
objectiveto test webbased care management glycemic control using shared electronic medical record patients type 2 diabetes research design methodswe conducted trial 83 adults type 2 diabetes randomized receive usual care plus webbased care management usual care alone august 2002 may 2004 patients ghb 70 web access home could use computer english languagebased programs intervention patients received 12 months webbased care management webbased program included patient access electronic medical records secure email providers feedback blood glucose readings educational web site interactive online diary entering information exercise diet medication primary outcome change ghb resultsghb levels declined 07 95 ci 0213 average among intervention patients compared usualcare patients systolic blood pressure diastolic blood pressure total cholesterol levels use inperson health care services differ two groups conclusionscare management delivered secure patient web communications improved glycemic control type 2 diabetes