Diabetes mellitus type 2, adherence to guidelines, clinical inertia, primary care
Conditions
Interventions
Type of interventions:
Two separate groups are randomly defined. The first group receives an advanced quality improvement program (AQIP-program) whereas a second group receives a usual quality impro
Sponsors
National Institute for Health and Disability Insurance, Belgium
Eligibility
Inclusion criteria
Inclusion criteria: All 379 primary care physicians (PCP’s) that actively execute their profession in the project region were invited to participate. These PCP’s work in a semi-rural setting with 357.000 inhabitants in Belgium and predominantly serve Caucasian patients with diabetes mellitus type 2. Primary care physicians provide care for approximately 80% of patients with type 2 diabetes, and are often the sole providers of care. The only inclusion criterion for the providers is the agreement to bring in all their known patients with type 2 diabetes mellitus. In this way selection bias is prevented. In addition, PCP’s will be asked to screen more systematically for new type 2 diabetes mellitus patients during 7 months after the start of the registration period. Diabetes is defined in accordance to the 2003 ADA criteria with PCP’s to take the final decision about the diagnosis of type 2 diabetes.
Exclusion criteria
Exclusion criteria: Type 1 diabetes mellitus patients. Patients not capable to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoints of the study are the proportion of patients reaching the ADA-targets for three bio-clinical outcomes: 1. HbA1c < 7% 2. SBD </ 130 mm Hg 3. LDL-C < 100mg/dl. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints are individual improvements of 12 validated parameters, i.e. - HbA1c - LDLC - HDL-C - Total Cholesterol - SBP - Diastolic Blood Pressure (DBP) - Weight - Physical exercise - Healthy diet - Smoking status - Statin - Anti-platelet therapy. | — |
Contacts
Public ContactLiesbeth Borgermans
Catholic University Leuven Department of General Practice
Outcome results
None listed