669 Effectiveness Of A Multidisciplinary Diabetes Support Team On Outcomes In Type 2 Diabetes Mellitus Patients In General Practice: Results From A Randomised Controlled Trial.

Conference: 
Author(s): 
LIESBETH BORGERMANS - CATHOLIC UNIVERSITY LEUVEN
GEERT GODERIS - CATHOLIC UNIVERSITY LEUVEN
CARINE VAN - CATHOLIC UNIVERSITY LEUVEN
RICHARD GROL - UNIVERSITY OF NIJMEGEN
JAN HEYRMAN - CATHOLIC UNIVERSITY LEUVEN
Text: 
Oral Communication
OBJECTIVE: To evaluate the effectiveness of a multidisciplinary Diabetes Support Team (DST) on patient outcomes as part of a multifaceted quality improvement program in general practice.
METHODS: RCT in a primary care setting in Belgium with an 18-month intervention period. The "R" group (53 PCP, 918 patients) was subjected to intensive re-organisation of care including a diabetes support team (internist, nurse educator, dietician, ophthalmologist), a care manager, benchmarking feedback and post-graduate education. The "A" group (67 PCP, 1577 patients) received in addition more cost-intensive interventions: patient group education by nurse educators in practices/at home, lifestyle oriented interventions provided by a health psychologist, patient centred feedback, peer review and education on motivational interviewing. Statistical analyses were performed using multilevel, multivariate models.
RESULTS: Final registration included 120 PCP (67 "A" and 53 "R") and 2255 patients (1448 "A" and 807 "R"). In total 313 patients made use of the Diabetes Support Team. Results are presented for three variables (A and R group combined): HbA1c evolved from 7,8 to 7,0 in patients using the DST and from 7,1 to 6,7 in patients not using the DST (pCONCLUSION: Multidisciplinary Diabetes Support Teams have a significant positive effect on patient outcomes in diabetes care.
Literature: 
669
Effectiveness of a Multidisciplinary Diabetes Support Team on Outcomes in Type 2 Diabetes Mellitus Patients in General Practice: Results from a Randomised Controlled Trial.