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January 4, 2010

Team approach to diabetes care improves quality, cost-effectiveness

Patients with diabetes who were treated by an interdisciplinary team of student health providers had more frequent health assessments and made fewer emergency room visits than patients who received standard care from an internal medicine resident, according to a new UCSF study published in Academic Medicine.

In a clinical trial conducted over 18 months, a team of primary care internal medicine residents, and nurse practitioner and pharmacy students worked together to care for 384 adults with Type 2 diabetes. The patients seen by the team had improved processes of care, more scheduled visits and a trend toward less use of urgent care than control patients. Students on the team also rated themselves higher on measures of accomplishment, preparation and success for chronic care than did the medical residents who worked individually. 

The UCSF researchers,  led by Susan Janson,  DNSc, RN, NP, a professor in the UCSF School of Nursing and adjunct professor in the UCSF School of Medicine, are Molly Cooke, MD; Kelly Wong McGrath, BA; Lisa Kroon, PharmD; Susan Robinson, PhD, ANP, RN, and Robert B. Baron, MD, MS. The research was supported by a grant from the Robert Wood Johnson Foundation.

Abstract of the study findings, published in Academic Medicine: http://journals.lww.com/academicmedicine/Abstract/2009/ 11000/Improving_Chronic_Care_of_Type_2_Diabetes_Using.29.aspx