The Effects of Disease Management on Glycemic Control and Adherence to American Diabetes Association Guidelines in an Air Force Population
UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD BETHESDA United States
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Diabetes has a profound and widespread effect on the medical and financial well-being of this country. Healthcare providers are not always aware of, nor do they always comply with the American Diabetes Associations ADA published practice guidelines for diabetic care. To improve patient care, the United States Air Force, as well as many civilian medical care facilities, have implemented a primary care approach to diabetes care based upon continuous quality improvement principles called Disease Management. This quasi-experimental study employed a prepost-intervention design to compare the effectiveness of traditional primary care with disease management care in achieving glycemic control and adherence to American Diabetes Association guidelines in 28 type 1and type 2 diabetes patients at an Air Force family medicine clinic. Content validity testing on the study instrument designed for this study showed a content validity index of 0.95. There was a high degree of correlation on intra-rater and inter-rater reliability tests of the instrument. Non-significant improvements in glycemic control were found in disease management care compared with traditional care.