title: Provider and systems factors in diabetes quality of care.
abstract: A gap exists in knowledge and the observed frequency with which patients with diabetes actually receive treatment for optimal cardiovascular risk reduction. Many interventions to improve quality of care have been targeted at the health systems level and provider organizations. Changes in several domains of care and investment in quality by organizational leaders are needed to make long-lasting improvements. In the studies reviewed, the most effective strategies often have multiple components, whereas the use of one single strategy, such as reminders only or an educational intervention, is less effective. More studies are needed to examine the effect of several care management strategies simultaneously, such as use of clinical information systems, provider financial incentives, and organizational model on processes of care and outcomes.
authors.affiliation: Division of Cardiology, Department of Medicine, University of California, Irvine, 101 City Drive South, Orange, CA 92868, USA.
authors.forename: Kimia
authors.initials: K
authors.lastname: Ghaznavi
authors.forename: Shaista
authors.initials: S
authors.lastname: Malik
mesh_terms: D002986:Clinical Trials as Topic; D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000592:standards*; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D009936:Organizational Innovation; D011320:Primary Health Care / Q000458:organization & administration*; D011787:Quality of Health Care / Q000458:organization & administration*