Electronic Feedback on Diabetic Care to General Practitioners

• ClinicalTrials.gov Identifier: NCT01009528
• Recruitment Status: Completed
• First Posted: November 6, 2009
• Last Update Posted: November 9, 2009
• Sponsor: University of Aarhus
• Information provided by: University of Aarhus

Study Description

Brief Summary:

The aim of this study is to determine whether electronic feedback to general practitioners on quality of Type 2-Diabetes care increases the quality of care measured on process and outcome measures contained in the national guidelines. Effect evaluation will be performed using a mixed method design.

Condition or disease	Intervention/treatment	Phase
Type 2 Diabetes	Device: Electronic feedback system on diabetes care	Not Applicable

Detailed Description:

Background: In an effort to optimize diabetes care in general practice, an electronical feedback system has been developed. The system will be evaluated both quantitative and qualitative.

Method: The general practitioners (GP´s) of the Region of Southern Denmark have been randomised to either admission or no admission to the electronic feedback system. The system was launched 1/3-2007 and ran for one year prior to evaluation.

Quantitative evaluation by assessment of the following end-points: Patients Hba1c-level, number of patients who have had their hba1c-level measured within the last year, cholesterol-level and number of patients who have had an eye examination within the last year.

Qualitative evaluation by interviewing GP´s who have had admission to the system.

Qualitative data have been collected through interviews with intervention GPs, designed to uncover motivational factors as well as barriers concerning the use of feedback on chronic care in general practice. Data are being analyzed.

Quantitative data are being gathered. Perspective: This project will shed light on the value of electronic feedback systems within chronic care in general practice.

Based on this project it will be possible to set up a system for automatic electronic monitoring and feedback of the quality of care in general practice, taking motivational factors of the GP s into account during implementation.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 2458 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: None (Open Label)
• Primary Purpose: Health Services Research
• Official Title: Development and Evaluation of Electronic Feedback, a Tool for Quality Assurance of the Diabetic Care in General Practice
• Study Start Date: March 2007
• Actual Primary Completion Date: June 2008
• Actual Study Completion Date: November 2009

Arms and Interventions

Arm	Intervention/treatment
Experimental: Intervention; Admission to electronic feedback system	Device: Electronic feedback system on diabetes care; An electronic feedback system was introduced in randomized primary care clinics providing an overview of quality of care. The intervention ran for 15 months.; Other Names: Electronic feedback system; Decission support system
No Intervention: control; Control group. No special attention

Outcome Measures

Primary Outcome Measures :

1. Outcome and process measures from the danish diabetes guideline [ Time Frame: 1/3 2007-1/6 2008 ]

Secondary Outcome Measures :

1. Interview data concerning the impact of the electronic feedback system in the intervention clinics [ Time Frame: 1/3 2007-1/6 2008 ]

Eligibility Criteria

• Ages Eligible for Study: 40 Years to 70 Years (Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

• Prevalent Type 2-diabetes as confirmed by Primary Care Physician.
• Patient alive throughout the intervention period.
• GP actively working throughout the intervention period (not retired).

Exclusion criteria:

• death during intervention
• moved out of geographic area during intervention
• GP retired during intervention

Contacts and Locations

Locations

Denmark

Dept. of General Medicine, Institute of Public Health, Aarhus University

Aarhus, Denmark, 8000

Sponsors and Collaborators

University of Aarhus

Investigators

• Study Director: Torsten Lauritzen, MD, Dr. Med.; Professor

More Information

Publications:

Guldberg TL, Lauritzen T, Kristensen JK, Vedsted P. The effect of feedback to general practitioners on quality of care for people with type 2 diabetes. A systematic review of the literature. BMC Fam Pract. 2009 May 6;10:30. doi: 10.1186/1471-2296-10-30. Review.

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Guldberg TL, Vedsted P, Kristensen JK, Lauritzen T. Improved quality of Type 2 diabetes care following electronic feedback of treatment status to general practitioners: a cluster randomized controlled trial. Diabet Med. 2011 Mar;28(3):325-32. doi: 10.1111/j.1464-5491.2010.03178.x.

Guldberg TL, Vedsted P, Lauritzen T, Zoffmann V. Suboptimal quality of type 2 diabetes care discovered through electronic feedback led to increased nurse-GP cooperation. A qualitative study. Prim Care Diabetes. 2010 Apr;4(1):33-9. doi: 10.1016/j.pcd.2010.01.001. Epub 2010 Jan 21.

• Responsible Party: Trine Guldberg,MD, Institute of Public Health, Aarhus University
• ClinicalTrials.gov Identifier: NCT01009528
• Other Study ID Numbers: 2008-41-2792
• First Posted: November 6, 2009
• Last Update Posted: November 9, 2009
• Last Verified: November 2009

Keywords provided by University of Aarhus:

Quality of care; General Practice; Electronic Feedback System