title: Use of chronic disease management programs for diabetes: in Alberta's primary care networks.
abstract: OBJECTIVE
  To determine the types of chronic disease management (CDM) programs offered for patients with diabetes in Alberta's primary care networks (PCNs).
  
  
  METHODS
  A survey was administered to PCNs to determine the types of CDM programs offered for patients with diabetes; CDM programs were organized into categories by their resource intensity and effectiveness. Results of the survey were reported using frequencies and percentages.
  
  
  METHODS
  Alberta has recently created PCNs-groups of family physicians who receive additional funds to enable them to support activities that fall outside the typical physician-based fee-for-service model, but which address specified objectives including CDM. It is currently unknown what additional programs are being provided through the PCN supplemental funding.
  
  
  METHODS
  A survey was administered to the individual responsible for CDM in each PCN. This included executive directors, chronic disease managers, and CDM nurses.
  
  
  METHODS
  We determined the CDM strategies used in each PCN to care for patients with diabetes, whether they were available to all patients, and whether the services were provided exclusively by the PCN or in conjunction with other agencies.
  
  
  RESULTS
  There was considerable variation across PCNs with respect to the CDM programs offered for people with diabetes. Nearly all PCNs used multidisciplinary teams (which could include nurses, dietitians, and pharmacists) and patient education. Fewer than half of the PCNs permitted personnel other than the primary physician to write or alter prescriptions for medications.
  
  
  CONCLUSIONS
  Alberta's PCNs have successfully established many different types of CDM programs. Multidisciplinary care teams, which are among the most effective CDM strategies, are currently being used by most of Alberta's PCNs.
authors: University of Calgary, Faculty of Medicine, 3330 Hospital Dr NW, Calgary, AB T2N 1N4. dcampbel@ucalgary.ca
authors: David J T
authors: DJ
authors: Campbell
authors: Peter
authors: P
authors: Sargious
authors: Richard
authors: R
authors: Lewanczuk
authors: Kerry
authors: K
authors: McBrien
authors: Marcello
authors: M
authors: Tonelli
authors: Brenda
authors: B
authors: Hemmelgarn
authors: Braden
authors: B
authors: Manns
mesh_terms: D000416:Alberta; D003920:Diabetes Mellitus / Q000628:therapy*; D019468:Disease Management; D019538:Health Care Surveys; D006801:Humans; D010348:Patient Care Team; D010353:Patient Education as Topic; D011320:Primary Health Care / Q000458:organization & administration*