AI Article Synopsis
- - The study explored the impact of a registry-based audit, feedback, and patient reminders on diabetes care practices among Internal Medicine residents treating diabetic patients.
- - Conducted as a randomized controlled trial, the intervention group received specialized training and quarterly reports about their patients, while the control group received standard education.
- - Results showed that residents in the intervention group had improved adherence to testing guidelines for hemoglobin A1c and LDL cholesterol, but no significant difference in actual clinical outcomes was observed between the two groups.
Article Abstract
Background: Disease registries, audit and feedback, and clinical reminders have been reported to improve care processes.
Objective: To assess the effects of a registry-generated audit, feedback, and patient reminder intervention on diabetes care.
Design: Randomized controlled trial conducted in a resident continuity clinic during the 2003-2004 academic year.
Participants: Seventy-eight categorical Internal Medicine residents caring for 483 diabetic patients participated. Residents randomized to the intervention (n = 39) received instruction on diabetes registry use; quarterly performance audit, feedback, and written reports identifying patients needing care; and had letters sent quarterly to patients needing hemoglobin A1c or cholesterol testing. Residents randomized to the control group (n = 39) received usual clinic education.
Measurements: Hemoglobin A1c and lipid monitoring, and the achievement of intermediate clinical outcomes (hemoglobin A1c <7.0%, LDL cholesterol <100 mg/dL, and blood pressure <130/85 mmHg) were assessed.
Results: Patients cared for by residents in the intervention group had higher adherence to guideline recommendations for hemoglobin A1c testing (61.5% vs 48.1%, p = .01) and LDL testing (75.8% vs 64.1%, p = .02). Intermediate clinical outcomes were not different between groups.
Conclusions: Use of a registry-generated audit, feedback, and patient reminder intervention in a resident continuity clinic modestly improved diabetes care processes, but did not influence intermediate clinical outcomes.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2219846 | PMC |
| http://dx.doi.org/10.1007/s11606-007-0431-x | DOI Listing |
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