A pragmatic cluster randomised controlled trial of a Diabetes REcall And Management system: the DREAM trial.

ABSTRACT:

Background

Following the introduction of a computerised diabetes register in part of the northeast of England, care initially improved but then plateaued. We therefore enhanced the existing diabetes register to address these problems. The aim of the trial was to evaluate the effectiveness and efficiency of an area wide 'extended,' computerised diabetes register incorporating a full structured recall and management system, including individualised patient management prompts to primary care clinicians based on locally-adapted, evidence-based guidelines.

Methods

The study design was a pragmatic, cluster randomised controlled trial, with the general practice as the unit of randomisation. Set in 58 general practices in three Primary Care Trusts in the northeast of England, the st

SUBMITTER: Eccles MP 

PROVIDER: S-EPMC1804280 | biostudies-literature | 2007 Feb

REPOSITORIES: biostudies-literature