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Protocol and baseline data from The Inala Chronic Disease Management Service evaluation study: a health services intervention study for diabetes care

BACKGROUND: Type 2 Diabetes Mellitus is one of the most disabling chronic conditions worldwide, resulting in significant human, social and economic costs and placing huge demands on health care systems. The Inala Chronic Disease Management Service aims to improve the efficiency and effectiveness of...

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Autores principales: Askew, Deborah A, Jackson, Claire L, Ware, Robert S, Russell, Anthony
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2890638/
https://www.ncbi.nlm.nih.gov/pubmed/20492731
http://dx.doi.org/10.1186/1472-6963-10-134
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author Askew, Deborah A
Jackson, Claire L
Ware, Robert S
Russell, Anthony
author_facet Askew, Deborah A
Jackson, Claire L
Ware, Robert S
Russell, Anthony
author_sort Askew, Deborah A
collection PubMed
description BACKGROUND: Type 2 Diabetes Mellitus is one of the most disabling chronic conditions worldwide, resulting in significant human, social and economic costs and placing huge demands on health care systems. The Inala Chronic Disease Management Service aims to improve the efficiency and effectiveness of care for patients with type 2 diabetes who have been referred by their general practitioner to a specialist diabetes outpatient clinic. Care is provided by a multidisciplinary, integrated team consisting of an endocrinologist, diabetes nurse educators, General Practitioner Clinical Fellows (general practitioners who have undertaken focussed post-graduate training in complex diabetes care), and allied health personnel (a dietitian, podiatrist and psychologist). METHODS/DESIGN: Using a geographical control, this evaluation study tests the impact of this model of diabetes care provided by the service on patient outcomes compared to usual care provided at the specialist diabetes outpatient clinic. Data collection at baseline, 6 and 12-months will compare the primary outcome (glycaemic control) and secondary outcomes (serum lipid profile, blood pressure, physical activity, smoking status, quality of life, diabetes self-efficacy and cost-effectiveness). DISCUSSION: This model of diabetes care combines the patient focus and holistic care valued by the primary care sector with the specialised knowledge and skills of hospital diabetes care. Our study will provide empirical evidence about the clinical effectiveness of this model of care. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12608000010392.
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spelling pubmed-28906382010-06-24 Protocol and baseline data from The Inala Chronic Disease Management Service evaluation study: a health services intervention study for diabetes care Askew, Deborah A Jackson, Claire L Ware, Robert S Russell, Anthony BMC Health Serv Res Study protocol BACKGROUND: Type 2 Diabetes Mellitus is one of the most disabling chronic conditions worldwide, resulting in significant human, social and economic costs and placing huge demands on health care systems. The Inala Chronic Disease Management Service aims to improve the efficiency and effectiveness of care for patients with type 2 diabetes who have been referred by their general practitioner to a specialist diabetes outpatient clinic. Care is provided by a multidisciplinary, integrated team consisting of an endocrinologist, diabetes nurse educators, General Practitioner Clinical Fellows (general practitioners who have undertaken focussed post-graduate training in complex diabetes care), and allied health personnel (a dietitian, podiatrist and psychologist). METHODS/DESIGN: Using a geographical control, this evaluation study tests the impact of this model of diabetes care provided by the service on patient outcomes compared to usual care provided at the specialist diabetes outpatient clinic. Data collection at baseline, 6 and 12-months will compare the primary outcome (glycaemic control) and secondary outcomes (serum lipid profile, blood pressure, physical activity, smoking status, quality of life, diabetes self-efficacy and cost-effectiveness). DISCUSSION: This model of diabetes care combines the patient focus and holistic care valued by the primary care sector with the specialised knowledge and skills of hospital diabetes care. Our study will provide empirical evidence about the clinical effectiveness of this model of care. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12608000010392. BioMed Central 2010-05-24 /pmc/articles/PMC2890638/ /pubmed/20492731 http://dx.doi.org/10.1186/1472-6963-10-134 Text en Copyright ©2010 Askew et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study protocol
Askew, Deborah A
Jackson, Claire L
Ware, Robert S
Russell, Anthony
Protocol and baseline data from The Inala Chronic Disease Management Service evaluation study: a health services intervention study for diabetes care
title Protocol and baseline data from The Inala Chronic Disease Management Service evaluation study: a health services intervention study for diabetes care
title_full Protocol and baseline data from The Inala Chronic Disease Management Service evaluation study: a health services intervention study for diabetes care
title_fullStr Protocol and baseline data from The Inala Chronic Disease Management Service evaluation study: a health services intervention study for diabetes care
title_full_unstemmed Protocol and baseline data from The Inala Chronic Disease Management Service evaluation study: a health services intervention study for diabetes care
title_short Protocol and baseline data from The Inala Chronic Disease Management Service evaluation study: a health services intervention study for diabetes care
title_sort protocol and baseline data from the inala chronic disease management service evaluation study: a health services intervention study for diabetes care
topic Study protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2890638/
https://www.ncbi.nlm.nih.gov/pubmed/20492731
http://dx.doi.org/10.1186/1472-6963-10-134
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