Exploring point-of-care transformation in diabetic care:A quality improvement approach
作者机构：Department of Family and Community MedicineBaylor College of MedicineHoustonTXUSA
出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)
年 卷 期：2015年第3卷第2期
页 面：20-26页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：This research received no specific grant from any funding agency in the public commercial or not-for-profit sectors
主 题：Diabetes point of care stat HbA1c
摘 要：Objective:This quality improvement project evaluated the impact of a point-of-care(POC)HbA1c stat lab intervention and a nurse-assisted expanded visit implemented among patients with uncontrolled type 2 diabetes(T2D)at a community health center in Houston,***:This was a before-and-after POC intervention among adult patients who received primary care services between 1 July 2014 and 31 December 2014(baseline visit)and who had at least one 3-month follow-up ***:Three hundred eighty-seven patients were included in the *** majority were9%)at baseline,with the highest average levels among Hispanic(10.9%)and black(10.7%)*** was a significant difference in the HbA1c level before(mean=10.65,SD=1.9291)and after(mean=9.25,SD=1.8187)*** absolute reduction in the level of HbA1c was 1.4%(t=12.834,p0.001),corresponding to a 13%overall percentage decrease from ***:There is a distinct advantage in using a stat HbA1c lab when combined with shared POC visits to assist patients with uncontrolled T2D in lowering the HbA1c,improving self-management,and reducing long-term costs.
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