OBJECTIVE: To review the effectiveness of interventions targeted at health care professionals and/or the structure of care in order to improve the management of @entity6 in primary care, outpatient, and community settings. RESEARCH DESIGN AND METHODS: A systematic review of controlled trials evaluating the effectiveness of interventions targeted at health care professionals and aimed at improving the process of care or @entity1 outcomes for @entity1 with @entity6 was performed. Standard search methods of the Cochrane Effective Practice and Organization of Care Group were used. RESULTS: A total of 41 studies met the inclusion criteria. The studies identified were heterogeneous in terms of interventions, @entity1 , settings, and reported outcomes. In all studies, the interventions were multifaceted. The interventions were targeted at health care professionals only in 12 studies, at the organization of care only in 9 studies, and at both in 20 studies. Complex professional interventions improved the process of care, but the effect on @entity1 outcomes remained less clear because such outcomes were rarely assessed. Organizational interventions that facilitated the structured and regular review of @entity1 also showed a favorable effect on process measures. Complex interventions in which @entity1 education was added and/or the role of a nurse was enhanced led to improvements in @entity1 outcomes as well as the process of care. CONCLUSIONS: Multifaceted professional interventions and organizational interventions that facilitate structured and regular review of @entity1 were effective in improving the process of care. The addition of @entity1 education to these interventions and the enhancement of the role of nurses in @entity6 care led to improvements in @entity1 outcomes and the process of care.

Interventions to improve the management of XXXX in primary care, outpatient, and community settings: a systematic review.

@entity1 :: ('9606', 'Species') :: ['participants', 'patients', 'patient'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes']
@entity6 :: (MESH:D003920,Disease) :: ['diabetes']
