{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T17:07:25Z","timestamp":1761239245725,"version":"3.44.0"},"reference-count":11,"publisher":"Danish Medical Association","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dan Med J"],"abstract":"<jats:p>INTRODUCTION. Studies have demonstrated that electronic feedback utilising patient data from general practice may effectively promote adherence to treatment guidelines, making it a valuable tool for quality improvement. Therefore, we aimed to explore the effect of data-driven quality improvement in general practice on clinical outcomes for people with type 2 diabetes.\n\nMETHODS. A total of 15 general practitioners participated in a quality development process with visits from an organisational advisor. Six other control clinics did not participate in the quality process. Diabetes-related data were gathered at baseline and after six and 12 months.\n\nRESULTS. The intervention improved adherence to guidelines. We observed between-group effects for the proportion of annual control within 12 months, HbA1c, low-density lipoprotein (LDL) and estimated glomerular filtration rate measurements, the proportion of patients with LDL &lt; 2.5 mmol\/l and a reduction in patients with ischaemic heart disease and no secondary prevention treatment.\n\nCONCLUSIONS. The intervention may represent an easy-to-implement solution to creating workflow routines by comprehensively analysing the patient population at the clinic level. However, selection bias may influence the results.\n\nFUNDING. The study was funded by Steno Diabetes Centre Copenhagen.\n\nTRIAL REGISTRATION. Regional ethics committee of the capital region (F-22073139).<\/jats:p>","DOI":"10.61409\/a11240795","type":"journal-article","created":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T06:52:41Z","timestamp":1749797561000},"page":"1-10","source":"Crossref","is-referenced-by-count":1,"title":["Using type 2 diabetes population data in general practice may affect workflow and clinical outcomes"],"prefix":"10.61409","author":[{"given":"Trine Kjeldgaard","family":"M\u00f8ller","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin Riis","family":"Johansen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulla","family":"Bjerre-Christensen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter Lommer","family":"Kristensen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"40208","published-online":{"date-parts":[[2025,6,1]]},"reference":[{"key":"ref0","unstructured":"Buch MS, Johansen KS. Udvikling af samarbejdsmodeller p\u00e5 tv\u00e6rs af sektorer for mennesker med type 2-diabetes - vidensopsamling fra tre udviklingsprojekter. VIVE - Det Nationale Forsknings- og Analysecenter for Velf\u00e6rd, 2022.\u200b"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Adusumalli S, Kanter GP, Small DS et al. Effect of nudges to clinicians, patients, or both to increase statin prescribing: a cluster randomized clinical trial. JAMA Cardiol. 2023;8(1):23-30. https:\/\/doi.org\/10.1001\/jamacardio.2022.4373\u200b","DOI":"10.1001\/jamacardio.2022.4373"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Navathe AS, Emanuel EJ. Physician peer comparisons as a nonfinancial strategy to improve the value of care. JAMA. 2016;316(17):1759-60. https:\/\/doi.org\/10.1001\/jama.2016.13739\u200b","DOI":"10.1001\/jama.2016.13739"},{"key":"ref3","unstructured":"Kvalitet i Almen Praksis. Forl\u00f8bsplaner. https:\/\/kiap.dk\/kiap\/praksis\/forloebsplaner.php (20 Mar 2025)"},{"key":"ref4","unstructured":"Dansk Diabetes Database. Diabetes. \u00c5rsrapport 2019\/2020.\u200b Dansk Diabetes Database, 2020"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Guldberg TL, Vedsted P, Kristensen JK, et al. Improved quality of type 2 diabetes care following electronic feedback of treatment status to general practitioners: a cluster randomized controlled trial. Diabet Med. 2011;28(3):325-32. https:\/\/doi.org\/10.1111\/j.1464-5491.2010.03178.x\u200b","DOI":"10.1111\/j.1464-5491.2010.03178.x"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Schroll H, Christensen RD, Thomsen JL, et al. The Danish model for improvement of diabetes care in general practice: impact of automated collection and feedback of patient data. Int J Family Med. 2012;2012:208123. https:\/\/doi.org\/10.1155\/2012\/208123\u200b","DOI":"10.1155\/2012\/208123"},{"key":"ref7","unstructured":"Dansk Diabetes Database, data from the Capital Region from the study intervention period: 2024. www.sundk.dk\/kliniske-kvalitetsdatabaser\/dansk-diabetes-database-ddid\/ (Feb 2025)"},{"key":"ref8","unstructured":"Langley GJ, Moen R, Nolan KM, et al. The improvement guide: a practical approach to enhancing organizational performance. 2nd ed. Jossey-Bass Publishers, 2009.\u200b"},{"key":"ref9","unstructured":"Dansk Selskab for Patientsikkerhed. https:\/\/patientsikkerhed.dk\/viden\/forbedringsmetoder\/pdsa\/ (20 Mar 2025)"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Tsang JY, Peek N, Buchan I, et al. Systematic review and narrative synthesis of computerized audit and feedback systems in healthcare. J Am Med Inform Assoc. 2022;29(6):1106-9. https:\/\/doi.org\/10.1093\/jamia\/ocac031","DOI":"10.1093\/jamia\/ocac031"}],"container-title":["Danish Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T11:55:26Z","timestamp":1758887726000},"score":1,"resource":{"primary":{"URL":"https:\/\/ugeskriftet.dk\/dmj\/A11240795"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,1]]},"references-count":11,"URL":"https:\/\/doi.org\/10.61409\/a11240795","relation":{},"ISSN":["2245-1919"],"issn-type":[{"type":"electronic","value":"2245-1919"}],"subject":[],"published":{"date-parts":[[2025,6,1]]}}}