Diabetes Mellitus, Type 2
Conditions
Keywords
Diabetes Mellitus, Type 2 [C18.452.394.750.149], Case Management [N04.590.233.624.250], Disease Management [N04.590.607], Diabetes Complications [C19.246.099]
Brief summary
The purpose of this study is to determine whether case management for type 2 diabetic patients with target-organ damage improves quality of care compared to usual care.
Interventions
Patients followed-up by case manager. Interventions based on the Chronic Care Model. Interventions are self management education, motivational interviewing, individualized counseling on non-pharmacological treatment to modify and sustain healthy lifestyle behaviours, and follow-up. Close contact with primary care physician and/or specialist by case manager, if clinical targets out of recommended standards. Pharmacological treatment not suggested, managed by personal criteria of health care professionals. Focus on targets.
Usual care provided by primary care physician and/or specialist according to patients' needs and professional criteria. Includes free access to educational diabetes workshops and educational brochures.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with diabetes mellitus * Age between 18 and 80 years old * Target organ damage (either macrovascular or microvascular) * Patient's acceptance to participate
Exclusion criteria
* Moderate to severe dementia * Life expectancy lower than one year * Justified negative from primary care physician to intervene the patient.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Combined outcome assessing adequate control of hypertension, LDL-cholesterol and glycated hemoglobin | Two years |
Secondary
| Measure | Time frame |
|---|---|
| Quality of care process measures | Two years |
Countries
Argentina