title: Moving diabetes management from clinic to community: development of a prototype based on automated voice messaging.
abstract: The purpose of this study is twofold. First, it provides a review of the literature supporting the development of a new service to help patients with diabetes and their providers manage their care. This service, automated voice messaging (AVM) with nurse follow-up, allows for systematic and intensive patient monitoring and diabetes education as well as a means of focusing clinical resources where they are most needed. Second, it provides a description of a prototype AVM-based diabetes management service that has been developed as part of two ongoing, randomized, controlled trials to test the efficacy of AVM care for patients with Type 2 diabetes. Preliminary findings from implementing this service in two large public healthcare systems suggest that AVM-supported care is feasible, desirable by clinicians and patients with diabetes, and may identify serious health problems that otherwise would go unnoted through standard means of clinic-based patient care.
authors.affiliation: Center for Health Care Evaluation/Health Services Research, VA Palo Alto Health Care System, Menlo Park, California 94025, USA. piette@ODD.stanford.edu
authors.forename: J D
authors.initials: JD
authors.lastname: Piette
mesh_terms: D002985:Clinical Protocols; D003153:Community Health Services; D003920:Diabetes Mellitus / Q000628:therapy*; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods*; D011320:Primary Health Care; D013685:Telecommunications / Q000458:organization & administration* / Q000706:statistics & numerical data; D013689:Telephone