Can primary care professionals' adherence to Evidence Based Medicine tools improve quality of care in Type 2 diabetes mellitus? A systematic review

被引:35
作者
de Belvis, A. G. [1 ]
Pelone, F. [1 ]
Biasco, A. [1 ]
Ricciardi, W. [1 ]
Volpe, M. [2 ]
机构
[1] Catholic Univ, Dept Publ Hlth & Prevent Med, Rome, Italy
[2] Teaching Hosp A Gemelli, Rome, Italy
关键词
Diabetes; Primary care; EBM; Systematic review; Guidelines adherence; RANDOMIZED CONTROLLED-TRIAL; CLINICAL GUIDELINES; GENERAL-PRACTICE; PATIENT; INTERVENTIONS; MANAGEMENT; SUPPORT; RECOMMENDATIONS; HYPERTENSION; IMPACT;
D O I
10.1016/j.diabres.2009.05.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Our aim is to review the effectiveness of EBM tools available to primary care professionals to improve the quality of Type 2 diabetes disease management. Methods: A systematic review of RCT was performed according to the Cochrane methods. Results: Starting from an overall number of 1737 references found, a total of 13 studies met all the inclusion criteria. Conclusions: The adherence to EBM instruments is likely to improve process of care, rather than patient outcomes. In addition, our review outlines that feedback reports and use of ICT devices are likely to be effective in diabetes disease management. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:119 / 131
页数:13
相关论文
共 53 条
[1]  
[Anonymous], COCHRANE DATABASE SY
[2]  
[Anonymous], NAT DIAB FACT SHEET
[3]  
[Anonymous], SYSTEMATIC REV HLTH
[4]  
[Anonymous], 2008, REV MAN REVMAN COMP
[5]  
[Anonymous], 2002, INNOVATIVE CARE CHRO
[6]  
Bebb C, 2007, BRIT J GEN PRACT, V57, P136
[7]   Implementing practice guidelines for diabetes care using problem-based learning - A prospective controlled trial using firm systems [J].
Benjamin, EM ;
Schneider, MS ;
Hinchey, KT .
DIABETES CARE, 1999, 22 (10) :1672-1678
[8]   Why don't physicians follow clinical practice guidelines? A framewouk for improvement [J].
Cabana, MD ;
Rand, CS ;
Powe, NR ;
Wu, AW ;
Wilson, MH ;
Abboud, PAC ;
Rubin, HR .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (15) :1458-1465
[9]  
Claudi Tor, 2008, Tidsskr Nor Laegeforen, V128, P2570
[10]   DO CLINICAL GUIDELINES INTRODUCED WITH PRACTICE-BASED EDUCATION IMPROVE CARE OF ASTHMATIC AND DIABETIC-PATIENTS - A RANDOMIZED CONTROLLED TRIAL IN GENERAL PRACTICES IN EAST LONDON [J].
FEDER, G ;
GRIFFITHS, C ;
HIGHTON, C ;
ELDRIDGE, S ;
SPENCE, M ;
SOUTHGATE, L .
BRITISH MEDICAL JOURNAL, 1995, 311 (7018) :1473-1478