Key result
Multidisciplinary clinical redesign improves hypertension control in diabetic patients by ~29%.
Why the study?
Optimal blood pressure control in patients with diabetes is challenging in primary care due to disease complexity and competing care demands.
Does a multidisciplinary team and clinical redesign improve blood pressure control in patients with type 2 diabetes mellitus?
Comparison
Multidisciplinary team and clinical redesign intervention vs pre-intervention standard care
Design
Prospective pre-/poststudy
Authors
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Supports team-based redesign for hypertension in diabetes; leaves open need for randomized confirmation before practice change.
Does a multidisciplinary team and clinical redesign improve blood pressure control in patients with type 2 diabetes mellitus?
Absolute Event Rate: 69.3% vs 53.6%
p-value: p=< .001
A multidisciplinary team approach and clinical redesign significantly improved blood pressure control and medication intensification in patients with type 2 diabetes in a primary care setting.
Choe et al. (2008) studied Type 2 diabetes mellitus (n=263). Multidisciplinary team and clinical redesign vs. Pre-intervention baseline was evaluated on Hypertension control (BP < 135/80 mm Hg) (p=< .001). A multidisciplinary team and clinical redesign improved hypertension control in patients with diabetes from 53.6% to 69.3% (P < .001).
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