Current Cardiology Reports

, Volume 14, Issue 1, pp 97–105

Provider and Systems Factors in Diabetes Quality of Care

Diabetes and Cardiovascular Disease (ND Wong, Section Editor)

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.

Keywords

Diabetes quality of care Provider factors System factors Organization structure 

Clinical Trial Acronyms

COMPETE II

A Randomized Trial of Electronic Integration of Care for Better Diabetes Outcomes

DCCT

Diabetes Control and Complications Trial

TRIAD

Translating Research Into Action for Diabetes

UKPDS

United Kingdom Prospective Diabetes Study

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Division of Cardiology, Department of MedicineUniversity of California, IrvineOrangeUSA

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