Tags

Type your tag names separated by a space and hit enter

Electronic patient registries improve diabetes care and clinical outcomes in rural community health centers.
J Rural Health. 2009 Winter; 25(1):77-84.JR

Abstract

CONTEXT

Diabetes care is challenging in rural areas. Research has shown that the utilization of electronic patient registries improves care; however, improvements generally have been described in combination with other ongoing interventions. The level of basic registry utilization sufficient for positive change is unknown.

PURPOSE

The goal of the current study was to examine differential effects of basic registry utilization on diabetes care processes and clinical outcomes according to level of registry use in a rural setting.

METHODS

Patients with diabetes (N = 661) from 6 Federally Qualified Health Centers in rural West Virginia were entered into an electronic patient registry. Data from pre- and post-registry were compared among 3 treatment and control groups that had different levels of registry utilization: low, medium, or high (for example, variations in the use of registry-generated progress notes examined at the point-of-care and in the accuracy of registry-generated summary reports to track patients' care). Data included care processes (annual exams, screens to promote wellness, education, and self-management goal-setting) and clinical outcomes (HbA1c, LDL, HDL, cholesterol, triglycerides, blood pressure).

FINDINGS

The registry assisted in significantly improving 12 of 13 care processes and 3 of 6 clinical outcomes (HbA1c, LDL, cholesterol) for patients exposed to at least medium levels of registry utilization, but not for the controls. For example, the percent of patients who had received an annual eye exam at follow-up was 11%, 34%, and 38% for the low, medium, and high utilization groups, respectively; only the latter groups improved.

CONCLUSIONS

As an initial step to achieving control of diabetes, basic registry utilization may be sufficient to drive improvements in provider-patient care processes and in patient outcomes in rural clinics with few resources.

Authors+Show Affiliations

Office of Health Services Research, West Virginia University, Morgantown, W VA 26506-9190, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Controlled Clinical Trial
Journal Article

Language

eng

PubMed ID

19166565

Citation

Pollard, Cecil, et al. "Electronic Patient Registries Improve Diabetes Care and Clinical Outcomes in Rural Community Health Centers." The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association, vol. 25, no. 1, 2009, pp. 77-84.
Pollard C, Bailey KA, Petitte T, et al. Electronic patient registries improve diabetes care and clinical outcomes in rural community health centers. J Rural Health. 2009;25(1):77-84.
Pollard, C., Bailey, K. A., Petitte, T., Baus, A., Swim, M., & Hendryx, M. (2009). Electronic patient registries improve diabetes care and clinical outcomes in rural community health centers. The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association, 25(1), 77-84. https://doi.org/10.1111/j.1748-0361.2009.00202.x
Pollard C, et al. Electronic Patient Registries Improve Diabetes Care and Clinical Outcomes in Rural Community Health Centers. J Rural Health. 2009;25(1):77-84. PubMed PMID: 19166565.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Electronic patient registries improve diabetes care and clinical outcomes in rural community health centers. AU - Pollard,Cecil, AU - Bailey,Kelly A, AU - Petitte,Trisha, AU - Baus,Adam, AU - Swim,Mary, AU - Hendryx,Michael, PY - 2009/1/27/entrez PY - 2009/1/27/pubmed PY - 2009/5/15/medline SP - 77 EP - 84 JF - The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association JO - J Rural Health VL - 25 IS - 1 N2 - CONTEXT: Diabetes care is challenging in rural areas. Research has shown that the utilization of electronic patient registries improves care; however, improvements generally have been described in combination with other ongoing interventions. The level of basic registry utilization sufficient for positive change is unknown. PURPOSE: The goal of the current study was to examine differential effects of basic registry utilization on diabetes care processes and clinical outcomes according to level of registry use in a rural setting. METHODS: Patients with diabetes (N = 661) from 6 Federally Qualified Health Centers in rural West Virginia were entered into an electronic patient registry. Data from pre- and post-registry were compared among 3 treatment and control groups that had different levels of registry utilization: low, medium, or high (for example, variations in the use of registry-generated progress notes examined at the point-of-care and in the accuracy of registry-generated summary reports to track patients' care). Data included care processes (annual exams, screens to promote wellness, education, and self-management goal-setting) and clinical outcomes (HbA1c, LDL, HDL, cholesterol, triglycerides, blood pressure). FINDINGS: The registry assisted in significantly improving 12 of 13 care processes and 3 of 6 clinical outcomes (HbA1c, LDL, cholesterol) for patients exposed to at least medium levels of registry utilization, but not for the controls. For example, the percent of patients who had received an annual eye exam at follow-up was 11%, 34%, and 38% for the low, medium, and high utilization groups, respectively; only the latter groups improved. CONCLUSIONS: As an initial step to achieving control of diabetes, basic registry utilization may be sufficient to drive improvements in provider-patient care processes and in patient outcomes in rural clinics with few resources. SN - 1748-0361 UR - https://www.unboundmedicine.com/medline/citation/19166565/Electronic_patient_registries_improve_diabetes_care_and_clinical_outcomes_in_rural_community_health_centers_ L2 - https://doi.org/10.1111/j.1748-0361.2009.00202.x DB - PRIME DP - Unbound Medicine ER -