Multiple interventions to improve provider adherence to diabetes care guidelines

Jessica R. Spitler, Pamela L. Stamm, Timothy W. Lineberry, Allan D. Stowers, Corey B. Lewis, Eric Morgan

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

• Objective: To assess the impact of provider education and systems improvements on attainment of clinical goals for patients with diabetes, and to compare the outcomes of patients who received care from an interdisciplinary team with those patients who received care from their primary care physician (PCP). • Setting: United States Air Force ambulatory care clinic. • Measures: Primary measures were hemoglobin A1c (HbA1c) values and low-density lipoprotein cholesterol (LDL) and blood pressure levels. Secondary measures were frequency of annual reccomended screening (foot and eye exams, microalbuminuria test, measurement of serum creatinine) and utilization of selected indicated drug therapies. • Results: 100 charts were evaluated at baseline and 111 postinterventon; 57 of the postintervention patients received team care, and 54 were cared for by their PCPs. Mean HbA1c values were lower postintervention (7.85 versus 7.25, P = 0.007) and more patients had achieved blood pressure goal (29.4%, versus 25.2% at baseline, P = 0.009). Aspirin use also increased postintervention (38% versus 54%, P = 0.02). Team patients had lower mean HbA1c levels (P = 0.007) and were more often at goal as compared with PCP patients (P = 0.034). • Conclusion: Multiple interventions in a primary care clinic may improve annual screening rates and diabetes control.

Original languageEnglish (US)
Pages (from-to)232-240
Number of pages9
JournalJournal of Clinical Outcomes Management
Volume11
Issue number4
StatePublished - Apr 2004

ASJC Scopus subject areas

  • Health Policy

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