Impact of an EHR-based diabetes management form on quality and outcomes of diabetes care in primary care practices
| Autor: | Terianne Cowling, H. Greg Stanek, Phil Aponte, Cliff Fullerton, Jeph Herrin, Priscilla Hollander, Briget da Graca, David J. Ballard |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Health information technology media_common.quotation_subject Blood Pressure Primary care Diabetes management Electronic health record Diabetes mellitus medicine Diabetes Mellitus Electronic Health Records Humans Quality (business) media_common Aged Quality of Health Care Glycated Hemoglobin Aspirin Primary Health Care business.industry Health Policy Vision Tests Disease Management Middle Aged medicine.disease Chronic disease Cholesterol Female Smoking Cessation Medical emergency business |
| Zdroj: | American journal of medical quality : the official journal of the American College of Medical Quality. 30(1) |
| ISSN: | 1555-824X |
| Popis: | Health information technology shows promise for improving chronic disease care. This study assessed the impact of a diabetes management form (DMF), accessible within an electronic health record. From 2007 to 2009, 2108 diabetes patients were seen in 20 primary care practices; 1103 visits involved use of the DMF in 2008. The primary outcome was "optimal care": HbA1c ≤8%, low-density lipoprotein (LDL) cholesterol100 mg/dL, blood pressure130/80 mm Hg, not smoking, and aspirin prescription in patients ≥40 years. After adjusting for number of visits, age, sex, and insulin use, DMF-exposed patients showed less improvement in attaining "optimal care" (estimated difference-in-difference [DID] = -2.06 percentage points; P.001), LDL cholesterol (DID = -2.30; P = .023), blood pressure (DID = -3.05; P.001), and total cholesterol (DID = -0.47; P = .004) targets. Documented microalbumin tests, aspirin prescription, and eye and foot exams increased more. Thus, DMF use was associated with smaller gains in achieving evidence-based targets, but greater improvement in documented delivery of care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|