PMID: 11914161Mar 27, 2002Paper

A randomised controlled trial of a patient based Diabetes Recall and Management System: the DREAM trial: a study protocol [ISRCTN32042030

BMC Health Services Research
Martin P EcclesLinda J Wood

Abstract

Whilst there is broad agreement on what constitutes high quality health care for people with diabetes, there is little consensus on the most efficient way of delivering it. Structured recall systems can improve the quality of care but the systems evaluated to date have been of limited sophistication and the evaluations have been carried out in small numbers of relatively unrepresentative settings. Hartlepool, Easington and Stockton currently operate a computerised diabetes register which has to date produced improvements in the quality of care but performance has now plateaued leaving substantial scope for further improvement. This study will evaluate the effectiveness and efficiency of an area wide 'extended' system incorporating a full structured recall and management system, actively involving patients and including clinical management prompts to primary care clinicians based on locally-adapted evidence based guidelines. The study design is a two-armed cluster randomised controlled trial of 61 practices incorporating evaluations of the effectiveness of the system, its economic impact and its impact on patient wellbeing and functioning.

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Citations

Sep 17, 2004·Medical Informatics and the Internet in Medicine·C N SciamannaR J Smith
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Kaveh G ShojaniaJeremy Grimshaw
Jan 4, 2012·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Visith UyDominick L Frosch
Jul 16, 2014·Applied Clinical Informatics·M SchweitzerA Hoerbst
Jan 28, 2004·Wiener klinische Wochenschrift·Guntram Schernthaner
Jan 11, 2007·Journal of the American Medical Informatics Association : JAMIA·David DorrAlexander S Young
Jan 31, 2013·BMC Medical Informatics and Decision Making·Ju-Ling HsiaoRai-Fu Chen
Oct 27, 2015·BMC Family Practice·Rebecca A JefferyJill A Hayden
Apr 1, 2008·Journal of General Internal Medicine·Thomas E LoveUNKNOWN DIG-IT Investigators

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