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Pre-Visit Prioritization for complex patients with diabetes: Randomized trial design and implementation within an integrated health care system.


ABSTRACT:

Background/aims

Despite robust evidence to guide clinical care, most patients with diabetes do not meet all goals of risk factor control. Improved patient-provider communication during time-limited primary care visits may represent one strategy for improving diabetes care.

Methods

We designed a controlled, cluster-randomized, multi-site intervention (Pre-Visit Prioritization for Complex Patients with Diabetes) that enables patients with poorly controlled type 2 diabetes to identify their top priorities prior to a scheduled visit and sends these priorities to the primary care physician progress note in the electronic medical record. In this paper, we describe strategies to address challenges to implementing our health IT-based intervention study within a large health care sys

SUBMITTER: Grant RW 

PROVIDER: S-EPMC4818191 | biostudies-literature | 2016 Mar

REPOSITORIES: biostudies-literature