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Titolo:
Improving glycemic control: Can techniques used in a managed care setting be successfully adapted to a rural fee-for-service practice?
Autore:
Stoner, KL; Lasar, NJ; Butcher, MK; Fawcett, LM; Danelson, ME; Harwell, TS; Helgerson, SD;
Indirizzi:
Mt Pacific Qual Hlth Fdn, Helena, MT 59602 USA Mt Pacific Qual Hlth Fdn Helena MT USA 59602 th Fdn, Helena, MT 59602 USA Plentywood Clin, Plentywood, MT USA Plentywood Clin Plentywood MT USAPlentywood Clin, Plentywood, MT USA Montana Dept Publ Hlth & Human Serv, Helena, MT USA Montana Dept Publ Hlth& Human Serv Helena MT USA n Serv, Helena, MT USA
Titolo Testata:
AMERICAN JOURNAL OF MEDICAL QUALITY
fascicolo: 3, volume: 16, anno: 2001,
pagine: 93 - 98
SICI:
1062-8606(200105/06)16:3<93:IGCCTU>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEALTH MAINTENANCE ORGANIZATION; DIABETES MANAGEMENT; PERFORMANCE; FEEDBACK; SYSTEM;
Keywords:
case management; cluster visits; diabetes care; electronic monitoring system; glycemic control; rural;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Helgerson, SD Mt Pacific Qual Hlth Fdn, 3404 Cooney Dr, Helena, MT 59602 USA Mt Pacific Qual Hlth Fdn 3404 Cooney Dr Helena MT USA 59602
Citazione:
K.L. Stoner et al., "Improving glycemic control: Can techniques used in a managed care setting be successfully adapted to a rural fee-for-service practice?", AM J MED QU, 16(3), 2001, pp. 93-98

Abstract

The objective of this work was to improve glycemic control using case management supported by electronic diabetes care monitoring. Information for patients with diagnosed diabetes in a rural community was maintained in the Diabetes Care Monitoring System. In September 1998, counseling and medication management for glycemic control was intensified during individual office visits. And, from September 1998 to February 1999, a hour cluster visits modeled after a successful urban program were offered for groups of patients with elevated HbA1c values. The median (and 75th percentile) HbA1c values for the patient population decreased from 8.7% (10.9%) in March 1998 (N = 173) to 7.5% (9.3%) in March 1999 (N = 182) and was maintained at 7.5% (9.1%)through March 2000 (N = 182). Case management, including cluster visits, can be accomplished in a rural physician's office with the support of an electronic diabetes care monitoring system. This intensified approach decreased and sustained the HbA1c level by more than a percentage point for the patient population.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 18:34:26