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

Study design:

RCT

Follow up: 1 year

Patient group:

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

Type of technology:

Home monitoring

– glucose reading

 

Phone call

 

Email

– datatransfer

– communication

Intervention:

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/ Patient safety:

Clinical effect:

– A1c ↓

– Blood pressure →

– BMI →

Patient safety:

NA

Patient experiences/ Staff experiences:

Patient experiences:

NA

Staff experiences:

NA

Costs and organization:

Investment:

NA

Running:

Staff resources

– Training of patients (glucose self-monitoring, insulin injections)

Organization:

NA

Health care utilization:

– Diabetes related clinic visits ↓

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)