The purpose of this study is to evaluate the effectiveness of using a diabetes registry program as part of a comprehensive quality improvement program. Diabetes care management objectives were compared between 82 patients of physicians who participated in the quality improvement program and 63 patients of nonparticipating physicians. Overall completion of management objectives increased 26.1% in the intervention group versus 2.6% in the control group. The intervention was associated with a dramatic improvement in compliance with care management guidelines and is strongly recommended in other community clinic settings.
1. The Impact of Diabetes. 2002. Available at: http://www.diabetes.org/main/application/commercewf?origin=*.jsp&event=link(B1_1). Accessed August 6, 2002.
2.
2. Bruckner M, Mangan M, Godin S, et al. Project LEAP of New Jersey: lower extremity amputation prevention in persons with type 2 diabetes. Am J Manag Care. 1999;5:609-616.
3.
3. Patout CA Jr, Birke JA, Horswell R, et al. Effectiveness of a comprehensive diabetes lower-extremity amputation prevention program in a predominantly low-income African-American population. Diabetes Care. 2000;23:1339-1342.
4.
4. Eastman R, Garfield S. Prevention and treatment of microvascular and neuropathic complications of diabetes. Prim Care. 1999;26:791-807.
5.
5. The Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med.1993;329:977-986.
6.
6. Ohkubo Y, Kishikawa H, Araki E, et al. Intensive insulin therapy prevents the progression of diabetic microvascular complications in Japanese patients with noninsulin dependent diabetes mellitus: a randomized prospective 6 year study. Diabetes Res Clin Pract.1995;28:103-117.
7.
7. Adler A, Neil H, Manley S, et al. Hyperglycemia and hyperinsulinemia at diagnosis of diabetes and their association with subsequent cardiovascular disease in the United Kingdom Prospective Diabetes Study (UKPDS 47). Am Heart J1999;138: S353-S359.
8.
8. Norris S, Engelgau M, Narayan V. Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care. 2001;24:561-587.
9.
9. American Diabetes Association. Standards of medical care for patients with diabetes mellitus. Diabetes Care. 2002;25:213-229.
10.
10. Ruoff G, Gray L. Using a flow sheet to improve performance in treatment of elderly patients with type 2 diabetes. Fam Med. 1999;31:331-336.
11.
11. Smith S, Murphy ME, Huschka TR, et al. Impact of a diabetes electronic management system on the care of patients seen in a subspecialty diabetes clinic. Diabetes Care. 1998;21:972-976.
12.
12. Zimmerman B, Gorman C, Smith S, et al. The impact of a diabetes electronic management system with active prompts for American Diabetes Association care guidelines on compliance with guidelines in comparison to an electronic record without prompts [abstract]. Diabetes. 49:A407-A407.
