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Community-Based Primary Care: Improving and Assessing Diabetes Management
Meghan Gannon, MSPH*,
Amir Qaseem, MD, PhD, MHA, FACP,
and
Vincenza Snow, MD, FACP
American College of Physicians, Philadelphia, Pennsylvania
* To whom correspondence should be addressed. E-mail: mgannon{at}acponline.org.
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Abstract |
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Morbidity and mortality associated with diabetes make it a prime target for quality improvement research. Quality gaps and racial/gender disparities persist throughout this population of patients necessitating a sustainable improvement in the clinical management of diabetes. The authors of this study sought (1) to provide a population perspective on diabetes management, and (2) to reinforce evidence-based clinical guidelines through a Web-based educational module. The project also aimed to gain insight into working remotely with a community of rural physicians. This longitudinal pre-post intervention study involved 18 internal medicine physicians and included 3 points of medical record data abstraction over 24 months. A Web-based educational module was introduced after the baseline data abstraction. This module contained chapters on clinical education, practice tools, and self-assessment. The results showed a sustained improvement in most clinical outcomes and demonstrated the effectiveness of using Web-based mediums to reinforce clinical guidelines and change physician behavior. (Am J Med Qual 2009;24:xx-xx)
First published on September 28, 2009
American Journal of Medical Quality 2009, doi:10.1177/1062860609345665
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