Vermont Diabetes Information System

描述(申请人提供)：佛蒙特州糖尿病的长期目标 信息系统是为了减少糖尿病的发病率和死亡率。 该项目将实施和评估全州范围的系统，以支持 初级保健提供者的循证疾病管理及其做法 和他们的病人在社区。主要的研究问题是：“什么是 糖尿病信息系统的作用(包括教育、反馈和 决策支持)通过糖化血红蛋白来衡量疾病控制？ 次要问题涉及系统对遵守 指南建议，血压控制，患者满意度， 药物使用、功能状态和卫生保健利用。我们假设 信息系统将导致这一进程的改进，并 临床护理的结果。有两个具体目标： 目的1：实施糖尿病信息系统。目标1.1：制定 佛蒙特州初级保健实践中的糖尿病患者登记处； 目标1.2：向提供者提供教育和反馈 糖尿病患者；目标1.3：提供决策支持(流程图， 警报和提醒)，基于登记处并针对初级保健 供应商和患者，促使理想的糖尿病管理。目标2：评估 糖尿病信息系统。目标2.1：评估疾病控制和 通过检查所有主题中的注册表数据来遵守指南 60例初级保健的两年前瞻性随机对照试验 实践；目标2.2：评估结果(血压控制、肥胖、 功能状态、症状、用药情况和满意度) 对对照试验患者的子样本进行检查；目的 2.3：通过分析行政管理来评估卫生保健资源的利用 来自对照试验的患者的子样本的数据。

DESCRIPTION (provided by applicant): The long-term goal of the Vermont Diabetes Information System is to reduce morbidity and mortality from diabetes mellitus. The project will implement and evaluate a state-wide system to support evidence-based disease management by primary care providers, their practices and their patients in the community. The primary study question is: "What is the effect of a Diabetes Information System (including education, feedback and decision support) upon disease control measured by glycated hemoglobin?" Secondary questions address the effect of the system upon adherence to guideline recommendations, blood pressure control, patient satisfaction, medication use, functional status, and health care utilization. We hypothesize that the information system will result in improvements in the process and outcomes of clinical care. There are two specific aims: Aim 1: Implement the Diabetes Information System. Objective 1.1: Develop a registry of patients with diabetes in primary care practices in Vermont; Objective 1.2: Provide education and feedback to providers regarding their patients with diabetes; Objective 1.3: Deliver decision support (flow sheets, alerts and reminders), based on the registry and targeted at primary care providers and patients, to prompt ideal management of diabetes. Aim 2: Assess the Diabetes Information System. Objective 2.1: Assess disease control and guideline adherence by examining registry data in all subjects in a prospective, two-year, randomized controlled trial in 60 primary care practices; Objective 2.2: Assess outcomes (blood pressure control, obesity, functional status, symptoms, medication use, and satisfaction) by interview and examination in a sub-sample of patients from the controlled trial; Objective 2.3: Assess utilization of health care resources by analyzing administrative data in a sub-sample of patients from the controlled trial.