Chronic Disease Management: A Residency-Led Intervention to Improve Outcomes in Diabetic Patients
作者： Richard E. Welling , Angela N. Fellner , Ryan C. Pettit , Lorraine Stephens , Betsy Drake
DOI:
关键词: Blood pressure 、 Family medicine 、 Graduate medical education 、 Alternative medicine 、 Accreditation 、 Diabetes management 、 Quality management 、 Medicine 、 Protocol (science) 、 Intervention (counseling)
摘要: Background When quality improvement processes are integrated into resident education, many opportunities created for improved outcomes in patient care. For Bethesda Family Medicine (BFM), integrating education is paramount fulfilling the Accreditation Council Graduate Medical Education Practice-Based Learning and Improvement core competency requirements. Methods A resident-developed diabetes management treatment protocol that targeted 11 evidence-based measures recommended successful was implemented within BFM residency all physician practices under its parent healthcare system. This study compares at 2 other family medicine timepoints before after implementation. We measured hemoglobin A1c (HbA1c), low-density lipoprotein (LDL) cholesterol, systolic blood pressure (SBP) adult diabetics compared these first third quarters of 2009 2010. Results In patients, HbA1c, LDL, SBP levels decreased, but only HbA1c persisted long term. comparison groups, general were lower than those patients not significantly so measurement period. Conclusions resident-led can improve among residents9 diabetic patients. Periodic educational interventions enhance focus on management. Residents graduate medical initiate protocols to care a large
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