Ontology highlight
ABSTRACT: Background
Because there has been no quality improvement initiatives targeting patients with type 2 diabetes (T2D) receiving basal insulin therapy, this study evaluated the effectiveness of physician-targeted education for optimizing glycemic management in these patients in China.Methods
This multicenter open-label observational study conducted across China had a baseline sample survey, followed by a 6-month education program, and ended with a post-education sample survey. Education based on T2D treatment guidelines was given at Months 1 and 3, and was reinforced by self-audit every month. Each hospital enrolled 100 patients with T2D receiving basal insulin at both the baseline and post-education survey. The primary outcome was the proportion of hospitals meeting individual improvement goals. The goal setting was based on the proportion of patients achieving HbA1c <7.0% in each hospital at the time of the baseline survey.Results
Overall, the individual improvement goal was achieved by 35 centers (49%). Hospitals with poor glycemic management at the baseline survey had higher possibility to improve at post-education survey. Two large sample surveys at baseline and post-education showed improved glucose management among these hospitals. A higher proportion of patients achieved HbA1c <7.0% in the post-education survey (27.2% vs 36.5%; P?ConclusionsPhysician-targeted education improved glycemic management of patients with T2D in 71 hospitals in China, and was more effective at hospitals with poor glycemic management at the baseline survey.
SUBMITTER: Weng J
PROVIDER: S-EPMC6972623 | biostudies-literature | 2020 Jan
REPOSITORIES: biostudies-literature
Weng Jianping J Zhao Jiajun J Zhou Zhiguang Z Guo Xiaohui X Zou Dajin D Ji Qiuhe Q Tong Nanwei N Li Qifu Q Zhu Jun J Li Qiang Q Qin Guijun G Feng Ping P Yang Liyong L Gao Zhengnan Z Chen Lulu L Li Hong H Li Yiming Y Zeng Longyi L Zhu Dalong D Lu Juming J Luo Tianhong T Cui Nan N
Journal of diabetes 20190806 1
<h4>Background</h4>Because there has been no quality improvement initiatives targeting patients with type 2 diabetes (T2D) receiving basal insulin therapy, this study evaluated the effectiveness of physician-targeted education for optimizing glycemic management in these patients in China.<h4>Methods</h4>This multicenter open-label observational study conducted across China had a baseline sample survey, followed by a 6-month education program, and ended with a post-education sample survey. Educat ...[more]