A team approach in diabetes care - Does the chronic care model work in routine care for diabetes patients in primary care?

Completed

Conditions: Diabetes type II
Non-insulin-dependent diabetes mellitus
primary care
Nutritional, Metabolic, Endocrine

Registration Number: ISRCTN05947538

Lead Sponsor: Institute of General Practice Medicine - University of Zurich (Institut für Hausarztmedizin der Universität Zürich) (Switerland)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 336

Inclusion Criteria

1. Diabetes type II patients (Glucose in blood plasma > 7,0 mmol /l)
2. At least one measure of HbA1c > 7.0% within the last year
3. Aged older than 18 years
4. Male and female

Exclusion Criteria

1. Insufficient German language skills
2. Patients who contacted the practice for emergencies only or as a substitute practice
3. Patients with oncological diseases and/or an estimated life expectancy of less than six months due to severe diseases

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Glycated Haemoglobin (HbA1c) level, measured at baseline (T0) and 1 year (T1)

Secondary Outcome Measures

Name	Time	Method
All measures will be assessed at baseline (T0) and 1 year (T1):<br><br>1. Guideline adherence (recommended treatment goals): Proportion of patients who achieve the recommended targets regarding:<br>1.1. HbA1c (=<6.5)<br>1.2. Blood pressure (<130/80)<br>1.3. Low-density lipoprotein-cholesterol (LDL-cholesterol) (<1.8 mmol/l) <br>2. Quality of Life, assessed by SF-36 questionnaire<br>3. Process quality:<br>3.1. Proportion of patients receiving at least one eye examination per year<br>3.2. Proportion of patients receiving at least one food examination per year<br>3.3. Proportion of patients receiving at least one nephropathy screening per year<br>3.4. Proportion of patients receiving at least one neurological testing per year<br>4. Accordance to the Chronic Care Model:<br>4.1. Patient Assessment of Chronic Illness Care questionnaire (PACIC-5A)<br>4.2. Assessment of Chronic Illness Care questionnaire (ACIC)