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Quality improvement
Group visits improved concordance with American Diabetes Association practice guidelines in type 2 diabetes

https://doi.org/10.1136/ebn.7.2.57

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    Clancy DE, Cope DW, Magruder KM, et al. Evaluating concordance to American Diabetes Association standards of care for type 2 diabetes through group visits in an uninsured or inadequately insured patient population. Diabetes Care 2003;26:2032–6.OpenUrlAbstract/FREE Full Text

    Q In uninsured or inadequately insured patients with uncontrolled type 2 diabetes, does healthcare delivery through group visits promote concordance with American Diabetes Association (ADA) standards of care?

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    {concealed}*.

    Embedded ImageBlinding:

    blinded (outcome assessors).

    Embedded ImageFollow up period:

    6 months of treatment.

    Embedded ImageSetting:

    an adult primary care centre at the Medical University of South Carolina, USA.

    Embedded ImagePatients:

    120 uninsured or inadequately insured patients >18 years of age (mean age 54 y, 78% women) who had type 2 diabetes and glycated haemoglobin (HBA1c) >8.5%. Exclusion criteria included a primary diagnosis of substance abuse or dependence, pregnancy, dementia, and inability to speak English.

    Embedded ImageInterventions:

    group visits (n = 59) or …

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    Footnotes

    • ↵* Information provided by author.

    • For correspondence: Dr D E Clancy, Medical University of South Carolina, Charleston, SC, USA. clancydmusc.edu

    • Sources of funding: Robert Wood Johnson Foundation and the Agency for Healthcare Research and Quality.