Type 2 Diabetes
Conditions
Keywords
Quality of care, General Practice, Electronic Feedback System
Brief summary
The aim of this study is to determine whether electronic feedback to general practitioners on quality of Type 2-Diabetes care increases the quality of care measured on process and outcome measures contained in the national guidelines. Effect evaluation will be performed using a mixed method design.
Detailed description
Background: In an effort to optimize diabetes care in general practice, an electronical feedback system has been developed. The system will be evaluated both quantitative and qualitative. Method: The general practitioners (GP´s) of the Region of Southern Denmark have been randomised to either admission or no admission to the electronic feedback system. The system was launched 1/3-2007 and ran for one year prior to evaluation. Quantitative evaluation by assessment of the following end-points: Patients Hba1c-level, number of patients who have had their hba1c-level measured within the last year, cholesterol-level and number of patients who have had an eye examination within the last year. Qualitative evaluation by interviewing GP´s who have had admission to the system. Qualitative data have been collected through interviews with intervention GPs, designed to uncover motivational factors as well as barriers concerning the use of feedback on chronic care in general practice. Data are being analyzed. Quantitative data are being gathered. Perspective: This project will shed light on the value of electronic feedback systems within chronic care in general practice. Based on this project it will be possible to set up a system for automatic electronic monitoring and feedback of the quality of care in general practice, taking motivational factors of the GP s into account during implementation.
Interventions
DEVICEElectronic feedback system on diabetes care
An electronic feedback system was introduced in randomized primary care clinics providing an overview of quality of care. The intervention ran for 15 months.
Sponsors
University of Aarhus
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Prevalent Type 2-diabetes as confirmed by Primary Care Physician. * Patient alive throughout the intervention period. * GP actively working throughout the intervention period (not retired).
Exclusion criteria
* death during intervention * moved out of geographic area during intervention * GP retired during intervention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Outcome and process measures from the danish diabetes guideline | 1/3 2007-1/6 2008 |
Secondary
| Measure | Time frame |
|---|---|
| Interview data concerning the impact of the electronic feedback system in the intervention clinics | 1/3 2007-1/6 2008 |
Countries
Denmark
Outcome results
None listed