Abstract：
BACKGROUND:This systematic review and meta-analysis aims at assessing the composition and performance of care management models evaluated in the last decade and their impact on patient important outcomes. METHODS:A comprehensive literature search of electronic bibliographic databases was performed to identify care management trials in type 2 diabetes. Random effects meta-analysis was used when feasible to pool outcome measures. RESULTS:Fifty-two studies were eligible. Most commonly reported were surrogate outcomes (such as HbA1c and LDL), followed by process measures (clinic visit or testing frequency). Less frequently reported were quality of life, patient satisfaction, self-care, and healthcare utilization. Most care management modalities were carved out from primary care. Meta-analysis demonstrated a statistically significant but trivial reduction of HbA1c (weighted difference in means -0.21%, 95% confidence interval -0.40 to -0.03, p < .03) and LDL-cholesterol (weighted difference in means -3.38 mg/dL, 95% confidence interval -6.27 to -0.49, p < .02). CONCLUSIONS:Most care management programs for patients with type 2 diabetes are 'carved-out', accomplish limited effects on metabolic outcomes, and have unknown effects on patient important outcomes. Comparative effectiveness research of different models of care management is needed to inform the design of medical homes for patients with chronic conditions.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Egginton JS,Ridgeway JL,Shah ND,Balasubramaniam S,Emmanuel JR,Prokop LJ,Montori VM,Murad MHdoi
10.1186/1472-6963-12-72subject
Has Abstractpub_date
2012-03-22 00:00:00pages
72issn
1472-6963pii
1472-6963-12-72journal_volume
12pub_type
杂志文章,meta分析,评审abstract：BACKGROUND:The aim of this project was to assess whether outreach visits would improve the implementation of evidence based clinical practice in the area of falls reduction and stroke prevention in a residential care setting. METHODS:Twenty facilities took part in a randomized controlled trial with a seven month follo...
journal_title：BMC health services research
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1186/1472-6963-4-6
更新日期：2004-04-06 00:00:00
abstract：BACKGROUND:E-mental health is a promising medium to keep mental health affordable and accessible. For consumers with severe mental illness the evidence of the effectiveness of e-health is limited. A number of difficulties and barriers have to be addressed concerning e-health for consumers with severe mental illness. On...
journal_title：BMC health services research
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12913-016-1267-z
更新日期：2016-01-19 00:00:00
abstract：BACKGROUND:Having a tax-funded and supposedly 'National' Health Service (NHS), one might assume that the UK is well-positioned to roll out eHealth innovations at scale. Yet, despite a strong policy push, the English NHS has been limited in the extent to which it has exploited the potential of eHealth. MAIN BODY:This p...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/s12913-019-4790-x
更新日期：2019-12-21 00:00:00
abstract：BACKGROUND:Strengthening primary health care is critical to reducing health inequity between Indigenous and non-Indigenous Australians. The Audit and Best practice for Chronic Disease Extension (ABCDE) project has facilitated the implementation of modern Continuous Quality Improvement (CQI) approaches in Indigenous com...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-10-129
更新日期：2010-05-19 00:00:00
abstract：BACKGROUND:Bronchiolitis is common in the first two years of life and is the most frequent cause of hospitalization in this age group. No previous studies have used an episode-of-care analysis to describe the frequency, duration, and predictors of bronchiolitis episodes of care during the first two years. METHODS:We c...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-144
更新日期：2012-06-08 00:00:00
abstract：BACKGROUND:There have been only limited studies assessing the economic burden of HIV/AIDS in terms of direct costs, and there has been no published study related to productivity costs in Nepal. Therefore, this study explores in detail the economic burden of HIV/AIDS, including direct costs and productivity costs. This ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-1976-y
更新日期：2017-01-24 00:00:00
abstract：BACKGROUND:Adverse events are considered a major international problem related to the performance of health systems. Evaluating the occurrence of adverse events involves, as any other outcome measure, determining the extent to which the observed differences can be attributed to the patient's risk factors or to variatio...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/1472-6963-11-223
更新日期：2011-09-19 00:00:00
abstract：BACKGROUND:Accurate and timely data on cause of death are critically important for guiding health programs and policies. Deaths certified by doctors are implicitly considered to be reliable and accurate, yet the quality of information provided in the international Medical Certificate of Cause of Death (MCCD) usually va...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2628-y
更新日期：2017-10-02 00:00:00
abstract：BACKGROUND:The Affordable Care Act (ACA) has increased insurance coverage for people with HIV (PWH) in the United States. To inform health policy, it is useful to investigate how enrollment through ACA Exchanges, deductible levels, and demographic factors are associated with health care utilization and HIV clinical out...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05856-5
更新日期：2020-11-11 00:00:00
abstract：BACKGROUND:In the Thai Universal Coverage health insurance scheme, hospital providers are paid for their inpatient care using Diagnosis Related Group-based retrospective payment, for which quality of the diagnosis and procedure codes is crucial. However, there has been limited understandings on which health care profes...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-11-71
更新日期：2011-04-08 00:00:00
abstract：BACKGROUND:The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a Disease Management model on functional health, quality of care and quality of life of persons living in homes for the elderly. METHODS:This study concerns a cluster randomized controlled cli...
journal_title：BMC health services research
pub_type： 杂志文章,随机对照试验
doi：10.1186/1472-6963-8-143
更新日期：2008-07-07 00:00:00
abstract：BACKGROUND:We studied the prevalence of common mental disorders among Dutch hospital physicians and investigated whether the presence of a mental disorder was associated with insufficient self-reported work ability. METHODS:A questionnaire was sent to all (n = 958) hospital physicians of one academic medical center, u...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-292
更新日期：2012-08-31 00:00:00
abstract：BACKGROUND:Previous self-harm is one of the strongest predictors of future self-harm and suicide. Increased risk of repeated self-harm and suicide exists amongst patients presenting to hospital with high-risk self-harm and major self-harm repeaters. However, so far evidence-based training in the management of self-harm...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05254-x
更新日期：2020-06-22 00:00:00
abstract：BACKGROUND:Administrative data are widely used to study health systems and make important health policy decisions. Yet little is known about the influence of coder characteristics on administrative data validity in these studies. Our goal was to describe the relationship between several measures of validity in coded ho...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-10-99
更新日期：2010-04-21 00:00:00
abstract：BACKGROUND:Growing understanding of the influence of social determinants of health (SDH) on healthcare costs and outcomes for low income populations is leading State Medicaid agencies to consider incorporating SDH into their program design. This paper explores states' current approaches to SDH. METHODS:A mixed-methods...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-3977-5
更新日期：2019-03-14 00:00:00
abstract：BACKGROUND:The rapid HIV antibody test is the diagnostic tool of choice in low and middle-income countries. Previous evidence suggests that rapid HIV diagnostic tests may underperform in the field, failing to detect a substantial number of infections. A research study inadvertently discovered that a clinic rapid HIV te...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-10-73
更新日期：2010-03-22 00:00:00
abstract：BACKGROUND:Clinical practice guidelines aim to enhance patient safety by reducing inappropriate variations in practice. Despite considerable efforts to enhance the use of clinical practice guidelines, adherence is often suboptimal. We investigated to what extent workplace affiliation explains variation of self-reported...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-1157-9
更新日期：2015-11-10 00:00:00
abstract：BACKGROUND:Population-based funding formulae act as an important means of promoting equitable health funding structures. To evaluate how policy makers in different jurisdictions construct health funding formulae and build an understanding of contextual influences underpinning formula construction we carried out a compa...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-470
更新日期：2013-11-08 00:00:00
abstract：BACKGROUND:The precipitous closure of rural maternity services in British Columbia (BC), Canada, and internationally has demanded a reevaluation of how to meet the perinatal surgical needs of rural women in accordance with the Triple Aim objectives of safety, cost-effectiveness, and satisfaction of all key stakeholders...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/s12913-016-1629-6
更新日期：2016-08-13 00:00:00
abstract：BACKGROUND:Despite strong evidence of the benefits of preconception interventions for improving pregnancy outcomes, the delivery and uptake of preconception care and periconceptional folate supplementation remain low. General practitioners play a central role in the delivery of preconception care. Understanding general...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-36
更新日期：2013-01-31 00:00:00
abstract：BACKGROUND:Many countries have introduced elements of managed competition in their healthcare system with the aim to accomplish more efficient and demand-driven health care. Simultaneously, generating and reporting of comparative healthcare information has become an important quality-improvement instrument. We examined...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-9-167
更新日期：2009-09-17 00:00:00
abstract：BACKGROUND:Attempts to reduce high utilisation of psychiatric inpatient care by targeting the critical time of hospital discharge have been rare. METHODS:This paper presents design and methods of the study "Effectiveness and Cost-Effectiveness of Needs-Oriented Discharge Planning and Monitoring for High Utilisers of P...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/1472-6963-8-152
更新日期：2008-07-21 00:00:00
abstract：BACKGROUND:Among the important stress factors for physicians nowadays are poorly functioning, time consuming and inadequate information systems. The present study examined the predictors of physicians' stress related to information systems (SRIS) among Finnish physicians. The examined predictors were cognitive workload...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-3094-x
更新日期：2018-04-13 00:00:00
abstract：BACKGROUND:Root cause analysis (RCA) originated in the manufacturing engineering sector but has been adapted for routine use in healthcare to investigate patient safety incidents and facilitate organizational learning. Despite the limitations of the RCA evidence base, healthcare authorities and decision makers in NHS S...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-50
更新日期：2013-02-07 00:00:00
abstract：BACKGROUND:The definition of community health outreach to promote the health of vulnerable populations depends heavily on the particulars of the given health project and community. There is no consistency in the definitions attached to the concept itself. Our study aimed to clarify the general definition of community h...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/s12913-020-05266-7
更新日期：2020-05-13 00:00:00
abstract：BACKGROUND:Concerns have been raised regarding the reasonableness of using personal health responsibility as a principle or criterion for setting priorities in healthcare. While this debate continues, little is known about clinicians' views on the role of patient responsibility in clinical contexts. This paper contribu...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05364-6
更新日期：2020-06-03 00:00:00
abstract：BACKGROUND:About one-third of the world's population lack access to essential medicines and this is further compounded by inappropriate prescription, dispensing, sale and use of the available medicines. The objective of the study was to assess the patterns of medicine use among health facilities in eastern Ethiopia usi...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-016-1414-6
更新日期：2016-04-23 00:00:00
abstract：BACKGROUND:Australia has a universal health care system and a comprehensive safety net. Despite this, outcomes for Australians living in rural and remote areas are worse than those living in cities. This study will examine the current state of equity of access to birthing services for women living in small communities ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2084-8
更新日期：2017-02-23 00:00:00
abstract：BACKGROUND:United States health care spending rose rapidly in the 2000s, after a period of temporary slowdown in the 1990s. However, the description of the overall trend and the understanding of the underlying drivers of this trend are very limited. This study investigates how well historical hospital cost/revenue driv...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-14-230
更新日期：2014-05-21 00:00:00
abstract：:This paper describes the first phase of the LINKIN Health Study, which aims to evaluate health system functioning within a rural population. Locally relevant data on the health status and service usage of this population, including non-users and users, health service providers traditionally omitted from health service...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-321
更新日期：2012-09-18 00:00:00
