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2型糖尿病患者护理的流程改进方法。为医生提供提高依从性和改善治疗效果的工具。

Process improvement approach to the care of patients with type 2 diabetes. Providing physicians with tools to increase compliance and improve outcomes.

作者信息

Nuckolls James G

机构信息

Carilion Medical Group, Carilion Internal Medicine, 199 Hospital Dr, Ste 5, Galax, VA 24333, USA.

出版信息

Postgrad Med. 2003 May;Spec No:53-62.

Abstract

Diabetes care relies on patient/physician-initiated programs of periodic evaluation, monitoring, and treatment interventions. Clinical practice guidelines can assist clinicians in diabetes care. To improve outcomes, these methods must be designed and implemented in a way that promotes change in physician behavior. When guidelines are corrected to real-time reminder protocols (at the time the physician is making clinical decisions with the patient), compliance with recommended tests and procedures is increased. Follow-up analysis of performance and comparison with peers assists physicians in making the necessary clinical interventions that improve the management of these conditions and reduce complications. Integrated electronic medical records are a key initial component for motivating physicians and initiating effective diabetes management plans.

摘要

糖尿病护理依赖于患者/医生发起的定期评估、监测和治疗干预计划。临床实践指南可协助临床医生进行糖尿病护理。为改善治疗效果,这些方法的设计和实施方式必须能促进医生行为的改变。当指南校正为实时提醒协议(在医生与患者进行临床决策时),推荐检查和程序的依从性会提高。对表现进行随访分析并与同行比较,有助于医生进行必要的临床干预,从而改善这些疾病的管理并减少并发症。集成电子病历是激励医生并启动有效糖尿病管理计划的关键初始组成部分。

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