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Diabetes Educ. 1997 Nov-Dec;23(6):672-80.

Moving diabetes management from clinic to community: development of a prototype based on automated voice messaging.

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Center for Health Care Evaluation/Health Services Research, VA Palo Alto Health Care System, Menlo Park, California 94025, USA.


The purpose of this study is twofold. First, it provides a review of the literature supporting the development of a new service to help patients with diabetes and their providers manage their care. This service, automated voice messaging (AVM) with nurse follow-up, allows for systematic and intensive patient monitoring and diabetes education as well as a means of focusing clinical resources where they are most needed. Second, it provides a description of a prototype AVM-based diabetes management service that has been developed as part of two ongoing, randomized, controlled trials to test the efficacy of AVM care for patients with Type 2 diabetes. Preliminary findings from implementing this service in two large public healthcare systems suggest that AVM-supported care is feasible, desirable by clinicians and patients with diabetes, and may identify serious health problems that otherwise would go unnoted through standard means of clinic-based patient care.

[Indexed for MEDLINE]

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