Linking internet-based diabetes self-management to primary care: lessons learned and implications for research translation and practice implementation.
There has been little discussion of or research on the key translational issue of how to integrate patient self-management programs across multiple primary care clinics within an HMO. The purpose of this study was to summarize our experiences and lessons learned in trying to integrate information from a web-based diabetes self-management program into primary care and the electronic health record (EHR). We describe plans, implementation, adaptations made, and data on patient and physician reactions to the My Path diabetes self-management program provided to 331 adult primary care patients. Mixed methods results revealed that, despite the availability of a state-of-the-art EHR, the intervention was not well integrated into primary care. Information from health-promotion and disease management programs, even within the same organization and with advanced EHR systems, is challenging to integrate into busy primary care.
Division of Cancer Control and Population Sciences, National Cancer Institute, 6130 Executive Blvd., Room 6144, Rockville, MD 20852 USA.
Russell E
RE
Glasgow
Deanna
D
Kurz
Jennifer M
JM
Dickman
Diego
D
Osuna
Lisa
L
Strycker
Diane K
DK
King
Chronic disease self-management; Health technology; Implementation; Integration; Primary care