None listed
Conditions
Brief summary
To test whether population-level effects can be achieved by implementing best-evidence practice change strategies for the care and management of diabetes. The study will test whether a rural GP-focused intervention involving Continuing Medical Education (CME), reminders & feedback can: i. Improve patterns of diabetes care as measured by frequency of testing for blood lipids, haemoglobin A1c (HbA1c) and urinary albumin ii. Improve clinical outcomes as measured by glycaemic control, blood lipid control and urinary albumin control. iii. Be cost-effective in terms of cost per Quality Adjusted Life Year (QALY) gained as a result of improved clinical outcomes
Interventions
GPs in the intervention group will receive a multi-component intervention involving continuing medical education, reminders and feedback over two years. An online module that provides continuing medical education on best practice diabetes care will be available to GPs during the two year intervention period. This module will take approximately six hours to complete and can be completed at any time over the intervention period. GPs will have access to targeted and specialist advice through the
GPs in the intervention group will receive a multi-component intervention involving continuing medical education, reminders and feedback over two years. An online module that provides continuing medical education on best practice diabetes care will be available to GPs during the two year intervention period. This module will take approximately six hours to complete and can be completed at any time over the intervention period. GPs will have access to targeted and specialist advice through the use of the Website consultant enquiry forms. Questions submitted with these forms will be answered by a endocrinologist. GPs will receive regular (at baseline and six monthly over the two year intervention) feedback on their individual perfomance and town-based comparative feedback. This feedback, based upon objective clinical measures obtained from pathology records, will be emailed to GPs.
Sponsors
Monash University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
Yes
Inclusion criteria
Towns defined by Postal Areas (POAs are Australia Bureau of statistics approximations of postcodes) that are: i) regional or remote according to ARIA plus classification ii) have a population of 10,000 to 30,000; iii) are in Victoria, New South Wales, Queensland or South Australia
Exclusion criteria
Towns that have fewer than 5 fulltime GPs
Outcome results
None listed