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Postgrad Med. 2003 May;Spec No:53-62.

Process improvement approach to the care of patients with type 2 diabetes. Providing physicians with tools to increase compliance and improve outcomes.

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Carilion Medical Group, Carilion Internal Medicine, 199 Hospital Dr, Ste 5, Galax, VA 24333, USA.


Diabetes care relies on patient/physician-initiated programs of periodic evaluation, monitoring, and treatment interventions. Clinical practice guidelines can assist clinicians in diabetes care. To improve outcomes, these methods must be designed and implemented in a way that promotes change in physician behavior. When guidelines are corrected to real-time reminder protocols (at the time the physician is making clinical decisions with the patient), compliance with recommended tests and procedures is increased. Follow-up analysis of performance and comparison with peers assists physicians in making the necessary clinical interventions that improve the management of these conditions and reduce complications. Integrated electronic medical records are a key initial component for motivating physicians and initiating effective diabetes management plans.

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