Impact of diabetes education teams in primary care on processes of care indicators

Autor: Baiju R. Shah, Wendy Lou, Linda Dorado, Souraya Sidani, Enza Gucciardi, Stacey Horodezny, Michele Vitale, Changchang Xu
Rok vydání: 2020
Předmět:
Blood Glucose
Male
Health Knowledge
Attitudes
Practice
medicine.medical_specialty
Time Factors
Referral
Endocrinology
Diabetes and Metabolism
education
Nurses
030209 endocrinology & metabolism
Primary care
Diabetes education
03 medical and health sciences
0302 clinical medicine
Patient Education as Topic
Diabetes management
Diabetes mellitus
Internal Medicine
medicine
Humans
Nutritionists
Prospective Studies
030212 general & internal medicine
Prospective cohort study
Quality Indicators
Health Care
Glycated Hemoglobin
Ontario
Patient Care Team
Nutrition and Dietetics
Primary Health Care
Delivery of Health Care
Integrated
business.industry
Middle Aged
Process of care
medicine.disease
Quality Improvement
Self Care
Treatment Outcome
Diabetes Mellitus
Type 2
Family medicine
Female
Family Practice
business
Biomarkers
Foot (unit)
Zdroj: Primary Care Diabetes. 14:111-118
ISSN: 1751-9918
Popis: Aims To evaluate the impact of the integration of onsite diabetes education teams in primary care on processes of care indicators according to practice guidelines. Methods Teams of nurse and dietitian educators delivered individualized self-management education counseling in 11 Ontario primary care sites. Of the 771 adult patients with HbA1c ≥7% who were recruited in a prospective cohort study, 487 patients attended appointments with the education teams, while the remaining 284 patients did not (usual care group). Baseline demographic, clinical information, and patient care processes (diabetes medical visit, HbA1c test, lipid profile, estimated glomerular filtration rate, and albumin-to-creatinine ratio, measuring blood pressure, performing foot exams, provision of flu vaccine, and referral for dilated retinal exam) were collected from patient charts one year before (pre period) and after (post period) the integration began. A multi-level random effects model was used to analyze the effect of group and period on whether the process indicators were met based on practice guidelines. Results Compared to the usual care group, patients seen by the education teams had significant improvements on indicators for semi-annual medical visit and annual foot exam. No significant improvements were found for other process of care indicators. Conclusions Onsite education teams in primary care settings can potentially improve diabetes management as shown in two process of care indicators: medical visits and foot exams. The results support the benefits of having education teams in primary care settings to increase adherence to practice guidelines.
Databáze: OpenAIRE
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