标题:Observational study evaluating the effectiveness of physician-targeted education for improving glycemic management of patients with type 2 diabetes (BEYOND II)
作者:Weng J.; Zhao J.; Zhou Z.; Guo X.; Zou D.; Ji Q.; Tong N.; Li Q.;等 更多
作者机构:[Weng, J] Department of Endocrinology, The First Affiliated Hospital, Division of Life Sciences and Medicine, University of Science and Technology of 更多
通讯作者:Weng, J(wengjp@ustc.edu.cn)
通讯作者地址:[Weng, J] Department of Endocrinology, The First Affiliated Hospital, Division of Life Sciences and Medicine, University of Science and Technology of 更多
来源:Journal of Diabetes
出版年:2019
DOI:10.1111/1753-0407.12963
关键词:basal insulin; education; glycemic management; physician; type 2 diabetes
摘要:Background: Because there has been no quality improvement initiatives targeting patients with type 2 diabetes (T2D) receiving basal insulin therapy, this study evaluated the effectiveness of physician-targeted education for optimizing glycemic management in these patients in China. Methods: This multicenter open-label observational study conducted across China had a baseline sample survey, followed by a 6-month education program, and ended with a post-education sample survey. Education based on T2D treatment guidelines was given at Months 1 and 3, and was reinforced by self-audit every month. Each hospital enrolled 100 patients with T2D receiving basal insulin at both the baseline and post-education survey. The primary outcome was the proportion of hospitals meeting individual improvement goals. The goal setting was based on the proportion of patients achieving HbA1c <7.0% in each hospital at the time of the baseline survey. Results: Overall, the individual improvement goal was achieved by 35 centers (49%). Hospitals with poor glycemic management at the baseline survey had higher possibility to improve at post-education survey. Two large sample surveys at baseline and post-education showed improved glucose management among these hospitals. A higher proportion of patients achieved HbA1c <7.0% in the post-education survey (27.2% vs 36.5%; P < 0.001) with reduced HbA1c levels (8.10% vs 7.72%; P < 0.001). Questionnaires from 723 physicians showed that confidence and practice of basal insulin use were significantly improved. Conclusions: Physician-targeted education improved glycemic management of patients with T2D in 71 hospitals in China, and was more effective at hospitals with poor glycemic management at the baseline survey. © 2019 Sanofi (Beijing) Pharmaceuticals Co., Ltd. Journal of Diabetes published by John Wiley & Sons Australia, Ltd and Ruijin Hospital, Shanghai Jiaotong University School of Medicine.
收录类别:SCOPUS
资源类型:期刊论文
原文链接:https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070508160&doi=10.1111%2f1753-0407.12963&partnerID=40&md5=10e0bde14fa33702efaf0c20e30646d0
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