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The effects of a group visit program on outcomes of diabetes care in an urban family practice.

机译:在城市家庭实践中,团体访问计划对糖尿病护理结果的影响。

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摘要

Diabetes mellitus is a prevalent chronic health condition associated with significant morbidity and mortality. Those with diabetes must acquire self-efficacy in the tasks necessary for them to successfully manage their disease. In this study, a controlled pre- and post-design was used to determine the effect of an adult support and education group visit program embedded in an urban academic family medicine practice on weight and the achievement of treatment goals for hemoglobin A1C, low-density lipoprotein (LDL) blood concentration, and blood pressure (BP) several months after it was implemented. Participants in the program were matched to a comparison group based on age, gender, race/ethnicity, and zip code group, a surrogate marker for socioeconomic status. The distribution of demographic characteristics and co-morbidities was similar between the groups. Significant increases occurred in the proportion of participants achieving both an A1C concentration
机译:糖尿病是一种普遍的慢性健康状况,与明显的发病率和死亡率有关。患有糖尿病的人必须在成功治疗疾病所需的任务中获得自我效能。在这项研究中,采用受控的前后设计来确定嵌入在城市学术家庭医学实践中的成人支持和教育团体访问计划对体重和血红蛋白A1C(低密度)治疗目标的实现效果脂蛋白(LDL)的血药浓度和血压(BP)在实施后的几个月。该计划的参与者根据年龄,性别,种族/民族和邮政编码组(一个社会经济地位的替代标记)与一个比较组进行了匹配。两组间人口统计学特征和合并症的分布相似。达到A1C浓度的参与者比例显着增加

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