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AJPH First Look, published online ahead of print Feb 28, 2006
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American Journal of Public Health, 10.2105/AJPH.2005.065391

Field Action Reports

Diabetes Decision Support: Initial Experience With the Vermont Diabetes Information System

Charles D. Maclean 1*, Benjamin Littenberg 1, Michael Gagnon 2

1 University of Vermont
2 Fletcher Allen Health Care

* To whom correspondence should be addressed. E-mail: charles.maclean{at}vtmednet.org.


  Abstract

Interventions that have proven effective in the management of chronic illness have often been difficult to establish in widespread practice. The Chronic Care Model provides a framework for implementing interventions, but it is expensive and difficult to implement.

We developed a decision support system based on this model to improve the care of adults who have diabetes and receive primary care in Vermont or adjacent New York. The Vermont Diabetes Information System uses a network of community laboratories for providing data to produce flowsheets, reminders, action alerts, and population reports that are sent to primary care providers by fax and to patients by mail. Currently, 7295 patients are cared for by 124 primary care providers in 62 practices and are enrolled in a randomized controlled trial to study its effects.

Key Words: Diabetes, Chronic Disease, Community Health, Epidemiology




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