Michigan Diabetes Outreach Networks: a public health approach to strengthening diabetes care.

Abstract:

:This study describes a statewide public health approach to strengthen diabetes care; evaluates diabetes-related processes of care for individuals enrolled in the Michigan Diabetes Outreach Network (MDON) program; and, examines MDON in the context of priorities for diabetes care and public health policy. Organizational information was obtained through semi-structured interviews. Program outcomes are examined using data from client intake and follow-up assessment forms. We report percentages and mean values overall and across networks. Logistic regression is used to identify factors associated with clients receiving recommended diabetes care. Within two years, five of the networks recruited 125 providers and collected information on over 8,000 individuals with diabetes. The percentage of enrollees with a glycosylated hemoglobin measure, eye exam, and dietician visit is greater at follow-up than at intake and an intake "referral" is strongly associated with clients being trieated for high blood pressure at follow-up. The MDON model is a promising public health approach for improving diabetes care but it is necessary to identify program elements that are most effective.

journal_name

J Community Health

authors

Krein SL,Klamerus ML

doi

10.1023/a:1005148831739

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

495-511

issue

6

eissn

0094-5145

issn

1573-3610

journal_volume

25

pub_type

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