Diabetes Mellitus Clinical Trial
Official title:
Effectiveness of a Computerised Prompt for Primary and Secondary Care Physicians to Refer or Refer Back Type 2 Diabetes Patients
Patients with type 2 diabetes mellitus can receive care in the general practice or at the
outpatient clinic. In the region of Amersfoort in The Netherlands, primary care practices
and the hospital are connected through Diamuraal to organize the diabetes care in that
region. They work in the same electronic medical record, and patients can request access to
their own record (called a patient web portal). They set up Diamuraal guidelines, based on
the guidelines of the Dutch College of General Practitioners and Internists, on where the
patient care needs to be allocated (primary or secondary care), depending on the amount of
specific care a patient needs. Despite guidelines, not all patients are treated in the
correct place.
Our hypotheses is that when we improve triage we can cause a major shift from treatment in
secondary care to primary care and from primary care to self-care by using the patient web
portal. Furthermore, patients who needs extra attention due to problems with their diabetes
or complications can receive this extra attention due to increased e-consultation between
primary care and secondary care and if necessary actually can, during a short time, be
treated by an internist. We hope to achieve this by introducing a signal in the electronic
medical record. This signal allocates patients according to the guidelines and warns a
physician if their patients is not treated according to that guideline. The health care
provider can then discuss this situation with his patient. We believe that this leads to
shift in allocation of care, in which optimal care is provided and patients are made more
aware of their situation which hopefully leads to better self-management and satisfaction.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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