Provider and Systems Factors in Diabetes Quality of Care
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.
KeywordsDiabetes 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
Diabetes Control and Complications Trial
Translating Research Into Action for Diabetes
United Kingdom Prospective Diabetes Study
Papers of particular interest, published recently, have been highlighted as: • Of importance
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