Quality of Care in Diabetes: Understanding the Guidelines

Bouldin, Marshall J.; Low, Annette K.; Blackston, Joseph W.; Duddleston, David N.; Holman, Honey E.; Hicks, G. Swink; Brown, C. Andrew

doi:10.1097/00000441-200210000-00006

Cited by 13 publications

(9 citation statements)

References 41 publications

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“…HbA1c was collected from the patients’ medical records and was the last blood glucose assessment available. According to Bouldin et al. (2002), HbA1c <7% is optimal, 7–8% is borderline and 8% is unsatisfactory.…”

Section: Methodsmentioning

confidence: 99%

Diabetes knowledge and glycemic control among Chinese people with type 2 diabetes

He¹,

Wharrad

2007

International Nursing Review

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Section: Methodsmentioning

confidence: 99%

Diabetes knowledge and glycemic control among Chinese people with type 2 diabetes

He¹,

Wharrad

2007

International Nursing Review

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“…to what extent the "epidemiologically expected" reductions in disease are realized. Trials have examined the effect of blood glucose lowering in type 2 diabetes (42-48), but several have had small sample size, less glycemic control than planned, and relatively short follow-up periods (49,50). Overall, the trials did demonstrate decreased microvascular complications and a nonsignificant trend toward decreasing macrovascular complications.…”

Section: Randomized Controlled Trials Indicatementioning

confidence: 99%

Blood Glucose and Risk of Cardiovascular Disease in the Asia Pacific Region

Lawes¹,

Parag²,

Bennett³

et al. 2004

Diabetes Care

261

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“…2 Given a particular patient's unique needs, busy practitioners may not know or follow established practice guidelines, or have the time or the facilities to coordinate care between all the people who need to be involved in the care of a particular patient. 6 In other words, these providers are susceptible to the "tyranny of the urgent" 7 -with more acute patient needs taking precedence over chronic ones. These problems are only magnified by the highly fragmented nature of medical care in the United States, which often leads to poor communication and less than optimal follow-through for chronically ill patients.…”

Section: Introductionmentioning

confidence: 99%

Implementing a Multidisease Chronic Care Model in Primary Care Using People and Technology

Dorr

Wilcox

Burns³

et al. 2006

Disease Management

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Management of chronic disease is performed inadequately in the United States in spite of the availability of beneficial, effective therapies. Successful programs to manage patients with these diseases must overcome multiple challenges, including the recognized fragmentation and complexity of the healthcare system, misaligned incentives, a focus on acute problems, and a lack of team-based care. In many successful programs, care is provided in settings or episodes that focus on a single disease. While these programs may allow for streamlined, focused provision of care, comprehensive care for multiple diseases may be more difficult. At Intermountain Healthcare (Intermountain), a generalist model of chronic disease management was formulated to overcome the limitations associated with specialization. In the Intermountain approach, which reflects elements of the Chronic Care Model (CCM), care managers located within multipayer primary care clinics collaborate with physicians, patients, and other members of a primary care team to improve patient outcomes for a variety of conditions. An important part of the intervention is widespread use of an electronic health record (EHR). This EHR provides flexible access to clinical data, individualized decision support designed to encourage best practice for patients with a variety of diseases (including co-occurring ones), and convenient communication between providers. This generalized model is used to treat diverse patients with disparate and coexisting chronic conditions. Early results from the application of this model show improved patient outcomes and improved physician productivity. Success factors, challenges, and obstacles in implementing the model are discussed.

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Quality of Care in Diabetes: Understanding the Guidelines

Cited by 13 publications

References 41 publications

Diabetes knowledge and glycemic control among Chinese people with type 2 diabetes

Diabetes knowledge and glycemic control among Chinese people with type 2 diabetes

Blood Glucose and Risk of Cardiovascular Disease in the Asia Pacific Region

Implementing a Multidisease Chronic Care Model in Primary Care Using People and Technology

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