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Improved quality of Type 2 diabetes care following electronic feedback of treatment status to general practitioners: a cluster randomized controlled trial

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  • T L Guldberg, Danmark
  • P Vedsted
  • J. K. Kristensen
  • ,
  • Torsten Lauritzen, Danmark
  • Afdeling for Almen Medicin
  • Forskningsenheden for Almen Praksis
Diabet. Med. 28, 325-332 (2011) ABSTRACT: Aims  To evaluate the effect of an electronic feedback system to general practitioners on quality of Type 2 diabetes care. Methods  A cluster randomized, controlled trial with 15 months follow-up. Eighty-six general practices (158 general practioners) in a Danish county caring for 2458 people 40-70 years old with Type 2 diabetes were randomized to receive or not to receive electronic feedback on quality of care. People with Type 2 diabetes were identified using a validated algorithm. Primary end-points were processes of care according to guidelines on prescriptions redeemed for Type 2 diabetes treatments, measuring of glycated haemoglobin and cholesterol and visits to ophthalmologists. Secondary end-points were changes in level of glycated haemoglobin and serum cholesterol. Data were analysed using generalized linear models accounting for clustering at practice level. Results  During follow-up, people with Type 2 diabetes in the intervention group more often redeemed recommended prescriptions than people in the control group, respectively, as follows: oral antidiabetic treatment (32.8 vs. 12.0%, P = 0.002), insulin treatment (33.8 vs. 12.4%, P 
TidsskriftDiabetic Medicine
Sider (fra-til)325-32
Antal sider8
StatusUdgivet - 1 mar. 2011

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