Chronic care clinics for diabetes in primary care: a system-wide randomized trial

Diabetes Care
E H WagnerE A Coleman

Abstract

To evaluate the impact of primary care group visits (chronic care clinics) on the process and outcome of care for diabetic patients. We evaluated the intervention in primary care practices randomized to intervention and control groups in a large-staff model health maintenance organization (HMO). Patients included diabetic patients > or = 30 years of age in each participating primary care practice, selected at random from an automated diabetes registry. Primary care practices were randomized within clinics to either a chronic care clinic (intervention) group or a usual care (control) group. The intervention group conducted periodic one-half day chronic care clinics for groups of approximately 8 diabetic patients in their respective doctor's practice. Chronic care clinics consisted of standardized assessments; visits with the primary care physician, nurse, and clinical pharmacist; and a group education/peer support meeting. We collected self-report questionnaires from patients and data from administrative systems. The questionnaires were mailed, and telephoned interviews were conducted for nonrespondents, at baseline and at 12 and 24 months; we queried the process of care received, the satisfaction with care, and the health statu...Continue Reading

References

Apr 1, 1992·Diabetic Medicine : a Journal of the British Diabetic Association·C BradshawH Y Choi
Feb 1, 1990·Diabetic Medicine : a Journal of the British Diabetic Association·M MacKinnon
Dec 1, 1980·Journal of Epidemiology and Community Health·J S YudkinE J Jones
Sep 1, 1995·Patient Education and Counseling·E H Wagner
Aug 1, 1995·Medical Care·D O ClarkG E Simon
Jun 5, 1998·Annual Review of Public Health·P A Fishman, E H Wagner
Oct 24, 1998·Annals of Internal Medicine·E H Wagner
Jul 15, 1999·Journal of the American Geriatrics Society·E A ColemanE H Wagner

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Citations

Jul 31, 2012·Journal of Immigrant and Minority Health·Diana M NaranjoAlicia Fernandez
Apr 20, 2007·Journal of General Internal Medicine·Dawn E ClancyKathryn Marley Magruder
May 22, 2007·Journal of General Internal Medicine·Mary Catherine BeachRichard D Moore
Aug 30, 2008·Journal of General Internal Medicine·Albert DiPieroJudith L Bowen
May 6, 2003·Current Diabetes Reports·Martha M Funnell, Robert M Anderson
Jun 6, 2009·Current Diabetes Reports·Lisel M Loney-HutchinsonSamy I McFarlane
Nov 11, 2003·Critical Reviews in Oncology/hematology·Darryl Wieland
May 14, 2005·Diabetes Research and Clinical Practice·K A J Al KhajaA H H Damanhori
Jul 30, 2011·Primary Health Care Research & Development·Rhoda AllisonJohn L Campbell
Feb 14, 2009·Social Work in Public Health·L Gail Dobell, Robert J Newcomer
Oct 28, 2003·Disease Management : DM·Thomas Bodenheimer
Mar 24, 2004·Disease Management : DM·Donna Lynne
Dec 8, 2005·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Edward H WagnerMichael Vonkorff
Aug 12, 2009·Population Health Management·Sandra Y AdamsChristopher N Sciamanna
Mar 12, 2009·Family Practice·Edwin B FisherAdam Zolotor
Oct 9, 2012·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Erika López-LópezAlvaro J Idrovo
Jan 17, 2004·The Nurse Practitioner·Martha M Funnell, Davida F Kruger
Jul 7, 2007·The American Journal of Nursing·Martha J Price, Patricia H Parkerton
Mar 17, 2009·Journal of Nursing Care Quality·William Corser, Yin Xu
Apr 20, 2013·The Nurse Practitioner·Kathryn J Trotter
Jun 1, 2007·Journal of Addiction Medicine·Michael M Miller
Dec 7, 2013·The Journal of Ambulatory Care Management·Jaishree HariharanJohn Meurer
Feb 6, 2010·The Journal of Cardiovascular Nursing·Kelly Bauer Bartley, Rebecca Haney
Feb 22, 2012·International Journal of Clinical Practice·M Mata-CasesUNKNOWN Diabetes Study Group in Primary Health Care (GEDAPS: Grup d’Estudi de la Diabetis a l’Atenció Primària de Salut, Catalonian
Oct 26, 2002·BMJ : British Medical Journal·John E Wennberg
Feb 16, 2008·BMJ : British Medical Journal·M J DaviesUNKNOWN Diabetes Education and Self Management for Ongoing and Newly Diagnosed Collaborative
Jul 16, 2010·International Journal of Pediatric Endocrinology·Selma Feldman Witchel
Feb 8, 2013·Circulation. Heart Failure·Michele HeislerJohn D Piette
Aug 26, 2011·BMC Women's Health·Annemiek VisserHanneke W M van Laarhoven
Aug 23, 2008·BMC Health Services Research·Marije BoschRichard Grol

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