[ Diabetes Solutions ]

Pharmacist impact on clinical outcomes in a diabetes disease management program via collaborative practice. –

Stanton R. STUDY DESIGN: Systematic literature review and meta-analysis. In order to cope with these complex needs, we developed and implemented a diabetes disease management program. Information from the database is used to compare patients at baseline, at discharge from the program and then after a year or more of follow-up in primary care. low motivation of the patients means that a patient with high motivation has 4.55-times higher odds for enrolment than a person with low motivation. 314 diabetics were enrolled in the DMP. Since cost-containment measures can no longer stabilize cost development, structural reforms are strongly advocated.

As a result of increasing costs for those chronic illnesses, disease management programs have been put forward as a potential way to control costs and improve the quality of care of chronic diseases. The frequency of microalbumin screening increased by 27% (p < 0.001), and the number of patients with annual eye and foot examinations increased by 27% (p < 0.05) and 15% (p < 0.05), respectively. Conclusion Alberta's PCNs have successfully established many different types of CDM programs. We conducted regression analysis comparing historical control group patient outcomes after October 2004 with these baseline characteristics. Advancing existing methods for disease management evaluation in routine situations where randomization is not possible will be pivotal in drawing valid conclusions about the impact of this care concept on the quality and outcomes of chronic care provision. After subtracting the fees paid to Diabetes Decisions, a net savings of $986,538 was realized.

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