Does a healthcare quality improvement programme, incorporating education and claims-based feedback about practice-specific models of monitoring diabetes care, increase the regularity with which primary care physicians assess people with diabetes mellitus receiving Medicare benefits?
Cluster randomised controlled trial.
22, 971 Medicare recipients with diabetes who could be linked with one of 477 study physicians in 123 non-urban counties were identified. The health care quality improvement programme significantly improved monitoring of circulating glycosylated haemoglobin (HbA1c) levels in people with diabetes compared with a no-intervention comparison group (see Table 1). There was no significant difference in number of eye exams or monitoring of urine protein levels between groups.
The population-based health care quality improvement programme, incorporating education and claims-based feedback about practice-specific models of monitoring diabetes care, improved care of people with diabetes.Le texte complet de cet article est disponible en PDF.
Keywords : Diabetes mellitus, Quality of healthcare, Medicare, Randomised controlled trial
| Abstracted from: McClellan WM, Millman L, Presley R et al. Improved diabetes care by primary care physicians: results of a group-randomized evaluation of the Medicare Health Care Quality Improvement Program (HCQIP). J Clin Epidemiol 2003; 56: 1210–1217.