Diabetes Case Management
Authors: Ronald E. Aubert
Journal: Annals of Internal Medicine (1999)

Letters18 May 1999Diabetes Case ManagementRonald E. Aubert, PhD, MSPH, Janice Waters, RN, CDE, and William H. Herman, MD, MPHRonald E. Aubert, PhD, MSPHPrudential Center for Health Care Research; Atlanta, GA 30339 (Aubert)Mission: Health; Jacksonville, FL 32205 (Waters)University of Michigan School of Medicine; Ann Arbor, MI 48109-0354 (Herman)Search for more papers by this author, Janice Waters, RN, CDEPrudential Center for Health Care Research; Atlanta, GA 30339 (Aubert)Mission: Health; Jacksonville, FL 32205 (Waters)University of Michigan School of Medicine; Ann Arbor, MI 48109-0354 (Herman)Search for more papers by this author, and William H. Herman, MD, MPHPrudential Center for Health Care Research; Atlanta, GA 30339 (Aubert)Mission: Health; Jacksonville, FL 32205 (Waters)University of Michigan School of Medicine; Ann Arbor, MI 48109-0354 (Herman)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-10-199905180-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:In response to Ms. Nettles, we have no empirical evidence to suggest that decreasing physician involvement would contribute favorably to the effectiveness or cost-effectiveness of intensive diabetes management. Our study and a study by Peters and Davidson (1), as well as the Diabetes Control and Complications Trial (2), relied on the ongoing active collaboration between physicians and nurses to achieve the desirable outcomes obtained. To presume or conclude an economic benefit by decreasing physician involvement is not supported by our study or the current literature. Indeed, Peters and Davidson (1) demonstrated that patient noncompliance with physician-supervised nurse case ...References1. Peters AL, Davidson MB. Application of a diabetes managed care program. The feasibility of using nurses and a computer system to provide effective care. Diabetes Care. 1998;21:1037-43. CrossrefMedlineGoogle Scholar2. The effect of intensive treatment on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The Diabetes Control and Complications Trial Research Group. N Engl J Med. 1993; 329:977-86. Google Scholar Author, Article, and Disclosure InformationAffiliations: Prudential Center for Health Care Research; Atlanta, GA 30339 (Aubert)Mission: Health; Jacksonville, FL 32205 (Waters)University of Michigan School of Medicine; Ann Arbor, MI 48109-0354 (Herman) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoNurse Case Management To Improve Glycemic Control in Diabetic Patients in a Health Maintenance Organization Ronald E. Aubert , William H. Herman , Janice Waters , William Moore , David Sutton , Bercedis L. Peterson , Cathy M. Bailey , and Jeffrey P. Koplan Diabetes Case Management Anne Nettles Diabetes Case Management Mayer B. Davidson Diabetes Case Management Robert F. DeBusk , Nancy Houston Miller , and Jeffrey A. West Metrics 18 May 1999Volume 130, Issue 10Page: 863KeywordsAlgorithmsDyslipidemiaForecastingHypertensionMedical risk factorsNursesPrimary care physiciansSmoking cessation Issue Published: 18 May 1999 CopyrightCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...