PURPOSE: The purpose of this pilot study was to determine the impact of implementing elements of the chronic care model (CCM; decision support, self-management, and delivery system redesign) on providers' diabetes care practices and patient outcomes in a rural practice setting. METHODS: In this pilot study, 104 patients with type 2 diabetes and 6 providers in a rural primary care practice were involved in an intervention that included a certified diabetes educator (CDE) who educated and supported providers on diabetes management and adherence to the American Diabetes Association (ADA) Standards of Care over the year of the project. The CDE also provided diabetes self-management education (DSME) at the office site for 29 of the 104 patients who received their care in the practice. The following variables were evaluated: provider perceived barriers to care and adherence to ADA standards of care and patient A1C, blood pressure, cholesterol, knowledge, and empowerment levels. RESULTS: Provider adherence to ADA Standards of Care increased significantly across all process measures. Patients who received DSME at point of service in the primary care practice setting gained improvements in knowledge, empowerment, A1C, and high-density lipoprotein cholesterol levels. CONCLUSIONS: Implementing systems to support decision support, self-management education, and delivery system redesign has a positive influence on practices and patient outcomes in outlying rural communities.
PURPOSE: The purpose of this pilot study was to determine the impact of implementing elements of the chronic care model (CCM; decision support, self-management, and delivery system redesign) on providers' diabetes care practices and patient outcomes in a rural practice setting. METHODS: In this pilot study, 104 patients with type 2 diabetes and 6 providers in a rural primary care practice were involved in an intervention that included a certified diabetes educator (CDE) who educated and supported providers on diabetes management and adherence to the American Diabetes Association (ADA) Standards of Care over the year of the project. The CDE also provided diabetes self-management education (DSME) at the office site for 29 of the 104 patients who received their care in the practice. The following variables were evaluated: provider perceived barriers to care and adherence to ADA standards of care and patientA1C, blood pressure, cholesterol, knowledge, and empowerment levels. RESULTS: Provider adherence to ADA Standards of Care increased significantly across all process measures. Patients who received DSME at point of service in the primary care practice setting gained improvements in knowledge, empowerment, A1C, and high-density lipoprotein cholesterol levels. CONCLUSIONS: Implementing systems to support decision support, self-management education, and delivery system redesign has a positive influence on practices and patient outcomes in outlying rural communities.
Authors: Pamela A Ohman Strickland; Shawna V Hudson; Alicja Piasecki; Karissa Hahn; Deborah Cohen; A John Orzano; Michael L Parchman; Benjamin F Crabtree Journal: J Am Board Fam Med Date: 2010 May-Jun Impact factor: 2.657
Authors: Maureen D Francis; Katherine A Julian; David A Wininger; Sean Drake; KeriLyn Bollman; Christopher Nabors; Anne Pereira; Michael Rosenblum; Amy B Zelenski; David Sweet; Kris Thomas; Andrew Varney; Eric Warm; Mark L Francis Journal: J Grad Med Educ Date: 2016-02
Authors: Latifa M Baynouna; Amal I Shamsan; Tahira A Ali; Lolowa A Al Mukini; Moza H Al Kuwiti; Thuraya A Al Ameri; Nico J D Nagelkerke; Ahmad M Abusamak; Nader M Ahmed; Sanaa M Zein Al Deen; Tariq M Jaber; Abdulkarim M Elkhalid; Anthony D Revel; Alhusini I Al Husaini; Fouad A Nour; Hayat O Ahmad; Mohammad K Nazirudeen; Rowaya Al Dhahiri; Yahya O Zain Al Abdeen; Aziza O Omar Journal: BMC Health Serv Res Date: 2010-02-22 Impact factor: 2.655
Authors: Martha M Funnell; Tammy L Brown; Belinda P Childs; Linda B Haas; Gwen M Hosey; Brian Jensen; Melinda Maryniuk; Mark Peyrot; John D Piette; Diane Reader; Linda M Siminerio; Katie Weinger; Michael A Weiss Journal: Diabetes Care Date: 2010-01 Impact factor: 19.112