An informatics-supported intervention improves diabetes control in a primary care setting.
Although research has shown that proper management of diabetes can improve outcomes, glucose control is worsening. This partly reflects the failure of providers to intensify diabetes therapy when indicated, termed clinical inertia. Our intervention used (a) decision support reminders which provided patient specific recommendations for management at each visit, and (b) computer generated provider specific feedback on performance. This intervention improved the frequency with which providers intensified the therapy and improved glycemic control.
Ziemer
David C
DC
Emory University School of Medicine, USA.
Tsui
Circe
C
Caudle
Jane
J
Barnes
Catherine S
CS
Dames
Faye
F
Phillips
Lawrence S
LS
D003658:Decision Making, Computer-Assisted; D020000:Decision Support Systems, Clinical; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D006801:Humans; D015999:Multivariate Analysis; D011320:Primary Health Care; D017010:Reminder Systems