Type 2 diabetes specialty clinic model for the accountable care organization era.
Source: Klinge-man, H., et al. 2017 - Pubmed ID: 28793967
Setting: USA, Endocrinology clinic
RCT
Follow up: 1 year
Sample size:
Total: 60 ( 44)
IG: 30 (24)
CG: 30 (20)
Inclusion criteria:
- Type 2 diabetes
- A1C≥8.0% and ≤ 11.0%
- Treated with ≥ 3 medications for diabetes
Home monitoring
- Glucose reading
Phone call
- Datatransfer
- Communication
Intervention: The pre-planned disease interventions were done via emails or phone calls and modified as needed while seeing the patient once a year in the clinic. For example, a plan for a patient may have included 12 provider initiated email/phone calls per year to review recent glucose readings to adjust insulin therapy
Duration: NA
Add on: NA
Control group: Usual care
Clinical effect:
- A1c ↓
- Blood pressure →
- BMI →
Patient safety: NA
Patient experiences: NA
Staff experiences: NA
Investment: NA
Running:
Staff resources
- Training of patients (glucose self-monitoring, insulin injections)
Organization: NA
Health care utilization:
- Diabetes related clinic visits ↓