PURPOSE: In developing our Patient-Centered Team Care (PCTC) program, we designed a Plan-of-Care (POC) tool to facilitate the physician-patient discussion for setting health goals. This study aimed to determine the effectiveness of the POC tool in improving clinical outcomes. METHODS: We compared baseline and 6-month or greater follow-up values for hemoglobin A1c (HbA1c), low-density lipoprotein (LDL), systolic blood pressure (SP), diastolic blood pressure (DP), and weight for PCTC patients (intervention group) and non-PCTC patients (control group). For the intervention group, we also compared POC tool completeness scores (1, low and 8, high). RESULTS: Of 1366 patients, 1110 (593 intervention, 517 control) had baseline and follow-up clinical measures for analysis. After adjusting for demographics, significant effects occurred in the intervention group for HbA1c (P = .0067), LDL (P = .012), and DP (P = .091). For completeness of POC, a significant association occurred between more fully completed forms (scores, 5-8) and change in HbA1c (P < .001) and SP (P = .011). CONCLUSION: Patients receiving a POC showed significant improvement in 3 of 5 clinical outcomes compared with those without the tool, and those with more fully completed forms had significant improvement in 2 of 5 clinical outcomes compared with those with partially completed forms.
PURPOSE: In developing our Patient-Centered Team Care (PCTC) program, we designed a Plan-of-Care (POC) tool to facilitate the physician-patient discussion for setting health goals. This study aimed to determine the effectiveness of the POC tool in improving clinical outcomes. METHODS: We compared baseline and 6-month or greater follow-up values for hemoglobin A1c (HbA1c), low-density lipoprotein (LDL), systolic blood pressure (SP), diastolic blood pressure (DP), and weight for PCTCpatients (intervention group) and non-PCTCpatients (control group). For the intervention group, we also compared POC tool completeness scores (1, low and 8, high). RESULTS: Of 1366 patients, 1110 (593 intervention, 517 control) had baseline and follow-up clinical measures for analysis. After adjusting for demographics, significant effects occurred in the intervention group for HbA1c (P = .0067), LDL (P = .012), and DP (P = .091). For completeness of POC, a significant association occurred between more fully completed forms (scores, 5-8) and change in HbA1c (P < .001) and SP (P = .011). CONCLUSION:Patients receiving a POC showed significant improvement in 3 of 5 clinical outcomes compared with those without the tool, and those with more fully completed forms had significant improvement in 2 of 5 clinical outcomes compared with those with partially completed forms.
Authors: Ashley N Saucier; Benjamin Ansa; Janis Coffin; Mariam Akhtar; Andre Miller; Holly Mahoney; Denise M Hodo; Carla Duffie; Brittney Fontenot; Holly E Andrews; Selina A Smith Journal: Eur J Pers Cent Healthc Date: 2017
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Authors: Sherri Adams; Eyal Cohen; Sanjay Mahant; Jeremy N Friedman; Radha Macculloch; David B Nicholas Journal: BMC Pediatr Date: 2013-01-19 Impact factor: 2.125
Authors: Jerôme Jean Jacques van Dongen; Marloes Amantia van Bokhoven; Ramon Daniëls; Trudy van der Weijden; Wencke Wilhelmina Gerarda Petronella Emonts; Anna Beurskens Journal: BMC Fam Pract Date: 2016-09-21 Impact factor: 2.497