Practice context affects efforts to improve diabetes care for primary care patients: a pragmatic cluster randomized trial.

ABSTRACT:

Background

Efforts to improve primary care diabetes management have assessed strategies across heterogeneous groups of patients and practices. However, there is substantial variability in how well practices implement interventions and achieve desired outcomes.

Objective

To examine practice contextual features that moderate intervention effectiveness.

Design

Secondary analysis of data from a cluster randomized trial of three approaches for implementing the Chronic Care Model to improve diabetes care.

Participants

Forty small to mid-sized primary care practices participated, with 522 clinician and staff member surveys. Outcomes were assessed for 822 established patients with a diagnosis of type 2 diabetes who had at least one visit to the practice in the 18 month

SUBMITTER: Dickinson LM 

PROVIDER: S-EPMC4370994 | biostudies-literature | 2015 Apr

REPOSITORIES: biostudies-literature