Sheri L. Maddigan|Sumit R. Majumdar|Lisa M. Guirguis|Richard Lewanczuk|T. K. Lee|Ellen L. Toth|Jeffrey Johnson
Improvements in Patient-Reported Outcomes Associated With an Intervention to Enhance Quality of Care for Rural Patients With Type 2 Diabetes
University of Alberta|Institute of Health Economics|Institute of Health Economics|University of Alberta|Institute of Health Economics|University of Alberta|University of Alberta|Grey Nuns Community Hospital|Institute of Health Economics|University of Alberta|University of Alberta|Institute of Health Economics
objectivethe aim study examine patientreported outcomes controlled trial multifaceted providerlevel intervention improve quality care rural patients type 2 diabetes research design methodswe conducted beforeafter intervention study concurrent controls two rural regions alberta canada intervention consisted six monthly visits multidisciplinary health care team primarily directed primary care providers clinical patientreported outcomes assessed 6 months patientreported outcomes included changes healthrelated quality life health utilities index mark 3 hui3 satisfaction care lifestyle diabetes lifestyle form adherence selfcare activities analysis covariance used assess differences time control intervention regions resultsa total 200 intervention 172 control subjects included analysis adjusting important clinical demographic differences statistically significant clinically important improvement overall hui3 score seen 6month followup intervention region 006 95 ci 002010 compared control region 001 004 004 p 003 difference groups satisfaction general medical care p amplt 0001 groups diabetes care p amplt 0001 groups increased among patients intervention region compared control region selfefficacy attitudes beliefs diabetes control increased intervention region compared control region adherence selfcare activities conclusionsa providerlevel intervention directed improving quality clinical care patients type 2 diabetes also favorable impact overall healthrelated quality life satisfaction care humanistic outcomes