Improving combined diabetes outcomes by adding a simple patient intervention to physician feedback: a cluster randomized trial

Research on synergistic effects of patient targeted interventions combined with physician-targeted interventions has been limited. To compare a combined physician-patient intervention to physician feedback alone on a composite outcome of glycemic, lipid and blood pressure control. In this cluster st...

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Bibliographic Details
Published in:The Israel Medical Association journal 2009-12, Vol.11 (12), p.719-724
Main Authors: Weitzman, Shimon, Greenfield, Sheldon, Billimek, John, Hava, Tabenkin, Schvartzman, Pesach, Yehiel, Ezra, Tandeter, Howard, Eilat-Tsanani, Sophia, Kaplan, Sherrie H
Format: Article
Language:English
Subjects:
Aged
Blood Pressure
Cholesterol, LDL - blood
Communication
Diabetes Mellitus, Type 2 - therapy
Feedback
Female
Glycated Hemoglobin A - analysis
Humans
Male
Physician-Patient Relations
Treatment Outcome
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Summary:Research on synergistic effects of patient targeted interventions combined with physician-targeted interventions has been limited. To compare a combined physician-patient intervention to physician feedback alone on a composite outcome of glycemic, lipid and blood pressure control. In this cluster study 417 patients with adult-type 2 diabetes from four primary care clinics were randomized to receive either a physician-only intervention or a combined physician-plus-patient intervention. Physicians in all clinics received diabetes-related quality performance feedback during staff meetings. Patients at combined-intervention clinics also received a letter encouraging them to remind their doctors to address essential aspects of diabetes care at the next visit. At 1 year follow-up, outcome measurements included hemoglobin A1c, low density lipoprotein-cholesterol and systolic blood pressure: namely, the proportion of patients with HbA1c 9%, LDL
ISSN:1565-1088