Vermont Diabetes Information System

描述（由申请人提供）：佛蒙特州糖尿病的长期目标 信息系统的目的是降低糖尿病的发病率和死亡率。 该项目将实施和评估一个全州范围的系统，以支持 循证疾病管理的初级保健提供者，他们的做法 和他们的病人。主要的研究问题是：“什么是 糖尿病信息系统（包括教育、反馈和 决策支持）对糖化血红蛋白测量的疾病控制的影响？" 次要问题涉及该系统对遵守 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 该信息系统将导致该过程的改进， 临床护理的结果。有两个具体目标： 目标1：建立糖尿病信息系统。目标1.1：制定一个 佛蒙特州初级保健实践中的糖尿病患者登记; 目标1.2：向服务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），以登记为基础，针对初级保健 提供者和患者，以促进糖尿病的理想管理。目标2：评估 糖尿病信息系统目标2.1：评估疾病控制和 通过检查所有受试者的登记数据， 在60例初级保健中进行的前瞻性、两年、随机对照试验 目标2.2：评估结果（血压控制，肥胖， 功能状态、症状、药物使用和满意度）， 对照试验患者子样本的检查;目的 2.3：通过分析行政管理，评估医疗资源的利用情况 来自对照试验的患者子样本中的数据。

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.