BMJ 2001;323:946-947 ( 27 October )

Editorials

The management of diabetes

Moving beyond registration, recall, and regular review

Primary Care p 970

The first 150 words of the full text of this article appear below.

Over the past 30 years care of diabetes has been in the vanguard of the change in the management of chronic diseases from specialties based in hospital outpatient clinics to a more primary care led service. The specialist versus generalist debate is sterile; there is greater variation in outcomes within than between traditional disciplinary boundaries. Effective delivery of care to people with diabetes over this period has depended on the three Rs of management of chronic diseases---registration, recall, and regular review.1

A well conducted trial from Danish general practice published in this issue (p 970) underlines this and supports the findings of a subsequent Cochrane review that multifaceted interventions to improve the performance of practitioners, and organisational interventions to improve recall and review, can enhance the care of diabetes. 2 3 Three hundred and twelve practices were randomised to intervention and routine care groups. In the intervention group 243 general practitioners (practice . . . [Full text of this article]
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Relevant Article

Randomised controlled trial of structured personal care of type 2 diabetes mellitus
Niels de Fine Olivarius, Henning Beck-Nielsen, Anne Helms Andreasen, Mogens Hørder, and Poul A Pedersen
BMJ 2001 323: 970. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

  • Corser, W., Holmes-Rovner, M., Lein, C., Gossain, V. (2007). A Shared Decision-Making Primary Care Intervention for Type 2 Diabetes. The Diabetes Educator 33: 700-708 [Abstract] [Full text]  
  • Aikens, J. E., Bingham, R., Piette, J. D. (2005). Patient-Provider Communication and Self-care Behavior Among Type 2 Diabetes Patients. The Diabetes Educator 31: 681-690 [Abstract] [Full text]  
  • Smith, S, Bury, G, O'Leary, M, Shannon, W, Tynan, A, Staines, A, Thompson, C (2004). The North Dublin randomized controlled trial of structured diabetes shared care. Fam Pract 21: 39-45 [Abstract] [Full text]  
  • Casalino, L., Gillies, R. R., Shortell, S. M., Schmittdiel, J. A., Bodenheimer, T., Robinson, J. C., Rundall, T., Oswald, N., Schauffler, H., Wang, M. C. (2003). External Incentives, Information Technology, and Organized Processes to Improve Health Care Quality for Patients With Chronic Diseases. JAMA 289: 434-441 [Abstract] [Full text]  
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