Electronic Patient Registries Improve Diabetes Care and Clinical Outcomes in Rural Community Health Centers

Informing the development of a national diabetes register in Ireland: a literature review of the impact of patient registration on diabetes care

“…A register formed part of all interventions and studies, whether as the sole focus of the study (Pollard et al) or as a minor role in the intervention (Goldfracht et al). 16,17 This demonstrates the important role that registers play in diabetes management research. Processes of care and clinical outcomes were measured in 18 of 23 studies (Table 1) so as to assess patient care and improvement.…”

“…25 A study conducted in the USA solely investigated the impact of the utilisation of a diabetes register. 16 It examined not only the use of a diabetes register in the primary care setting, but also the extent of utilisation (use categorised as low, medium or high). The authors found that the use of an electronic register improves process and outcome measures in patients only where utilisation reaches medium to high level.…”

“…To improve clinic efficiency, a system of redesign based on chronic care model is the Shared Medical Appointment (SMA) (also known as cluster visit), in which groups (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) outcomes. The COMPETE II study 13 concluded that the tracking of patients as enabled by the register and associated decision support system (DSS) improved point-of-care monitoring and communication between primary and secondary care physicians but without statistical improvement in clinical outcomes.…”

Improvement noted after a multifaceted approach to diabetes mellitus management

“…Pollard et al 7 showed that electronic patient registries do improve some outcomes (HbA1C, LDL, total cholesterol) in resource-limited diabetes clinics. Ricci-Cabello et al 8 proposed that, in order to improve diabetes care in resource-limited diabetes clinics, multiple intervention strategies need to be directed towards both the attending clinicians and patients.…”

Introducing a multifaceted approach to the management of diabetes mellitus in resource-limited settings

“…[9] • A study by Ricci-Cabello et al [10] suggests that multiple intervention strategies directed at both clinicians and patients can improve diabetes control in resource-limited clinics.…”