Diabetes decision support: initial experience with the Vermont diabetes information system.

Full Abstract

Interventions that have proven effective in the management of chronic illness have often been difficult to establish in widespread practice. The Chronic Care Model provides a framework for implementing interventions, but it is expensive and difficult to implement. We developed a decision support system based on this model to improve the care of adults who have diabetes and receive primary care in Vermont or adjacent New York. The Vermont Diabetes Information System uses a network of community laboratories for providing data to produce flowsheets, reminders, action alerts, and population reports that are sent to primary care providers by fax and to patients by mail. Currently, 7295 patients are cared for by 124 primary care providers in 62 practices and are enrolled in a randomized controlled trial to study its effects.

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Author information

Author/s: MacLean, Charles D (CD); Littenberg, Benjamin (B); Gagnon, Michael (M);

Affiliation: Division of General Internal Medicine, University of Vermont College of Medicine, Burlington, VT 05401, USA. charles.maclean(-atsign-)vtmednet.org

Grants: K24 DK068380 (Agency:NIDDK NIH HHS) ; R01 DK61167 (Agency:NIDDK NIH HHS)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural

Journal: American journal of public health (Am J Public Health), published in United States. (Language: eng)

Reference: 2006-Apr; vol 96 (issue 4) : pp 593-5

Dates: Created 2006/03/22; Completed 2006/05/22; Revised 2008/11/20;

PMID: 16507723, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Albuminuria - diagnosis
Creatinine - blood
Decision Support Systems, Clinical - organization & administration
Diabetes Mellitus - therapy
Hemoglobin A, Glycosylated - analysis

Humans
Lipids - blood
New York
Patient Care Planning - organization & administration
Vermont

Associated Chemicals: Hemoglobin A, Glycosylated (0) ; Lipids (0) ; Creatinine (60-27-5)

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