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:



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



  • 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/ Patient safety:

Clinical effect:

  • A1c ↓
  • Blood pressure →
  • BMI →

Patient safety:

Patient experiences/ Staff experiences:

Patient experiences: NA

Staff experiences: NA

Costs and organization:

Investment: NA

Staff resources

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


Health care utilization:

  • Diabetes related clinic visits ↓
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“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)