Less frequently reported were quality of life , patient satisfaction , self-care , and healthcare utilization .
Most care management modalities were carved out from primary care .
Conclusions Most care management programs for patients with type 2 diabetes are ' carved-out ' , accomplish limited effects on metabolic outcomes , and have unknown effects on patient important outcomes .
Background This systematic review and meta- analysis aims at assessing the composition and performance of care management models evaluated in the last decade and their impact on patient important outcomes .
Electronic patient registries improve diabetes care and clinical outcomes in rural community health centers.
CONTEXT Diabetes care is challenging in rural areas . Research has shown that the utilization of electronic patient registries improves care ; however , improvements generally have been described in combination with other ongoing interventions . The level of basic registry utilization sufficient for positive change is unknown . PURPOSE The goal of the current study was to examine differential effects of basic registry utilization on diabetes care processes and clinical outcomes according to level of registry use in a rural setting . METHODS Patients with diabetes ( N = 661 ) from 6 Federally Qualified Health Centers in rural West Virginia were entered into an electronic patient registry . Data from pre- and post-registry were compared among 3 treatment and control groups that had different levels of registry utilization : low , medium , or high ( for example , variations in the use of registry-generated progress notes examined at the point-of-care and in the accuracy of registry-generated summary reports to track patients ' care ) . Data included care processes ( annual exams , screens to promote wellness , education , and self-management goal - setting ) and clinical outcomes ( HbA1c , LDL , HDL , cholesterol , triglycerides , blood pressure ) . FINDINGS The registry assisted in significantly improving 12 of 13 care processes and 3 of 6 clinical outcomes ( HbA1c , LDL , cholesterol ) for patients exposed to at least medium levels of registry utilization , but not for the controls . For example , the percent of patients who had received an annual eye exam at follow-up was 11 % , 34 % , and 38 % for the low , medium , and high utilization groups , respectively ; only the latter groups improved . CONCLUSIONS As an initial step to achieving control of diabetes , basic registry utilization may be sufficient to drive improvements in provider-patient care processes and in patient outcomes in rural clinics with few re sources
Less frequently reported were quality of life , patient satisfaction , self-care , and healthcare utilization .
Most care management modalities were carved out from primary care .
Conclusions Most care management programs for patients with type 2 diabetes are ' carved-out ' , accomplish limited effects on metabolic outcomes , and have unknown effects on patient important outcomes .
Background This systematic review and meta- analysis aims at assessing the composition and performance of care management models evaluated in the last decade and their impact on patient important outcomes .