Diabetes care in general practice: meta-analysis of randomised control trials.

摘要: Abstract Objective : To assess the effectiveness of care in general practice for people with diabetes. Design Meta-analysis randomised trials comparing and shared follow up hospital outpatient clinic. Identification Trials were identified from searches eight bibliographic research databases. Results Five included 1058 diabetes, overall mean age 58.4 years, receiving their heterogeneous between trials. In schemes featuring more intensive support through a computerised prompting system practitioners patients, there was no difference mortality (odds ratio 1.06, 95% confidence interval 0.53 to 2.11); glycated haemoglobin tended be lower primary (weighted means 0.28%, 0.59% 0.03%); losses significantly 0.37, 0.22 0.61). However, less well developed family doctors associated adverse outcomes patients. Conclusions Unstructured community is poorer up, worse glycaemic control, greater than care. Computerised central recall, patients doctors, can achieve standards as good or better care, at least short term. The evidence supports provision regular prompted recall review selected diabetes by willing practitioners. This achieved if suitable organisation place.