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Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Improving the health in persons with.

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Presentation on theme: "Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Improving the health in persons with."— Presentation transcript:

1 Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Improving the health in persons with type 2 diabetes Results from intervention studies targeting patients, practice staff and GPs

2 Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University What works? We know that optimal control of diabetes  prolongs life  leads to fewer complications (cardiovascular events, neuropati)

3 Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University How to implement the evidense? Evidense based medicine Treatment targets HbA1c BP Tot-chol Etc. GP/clincal staff Knowledge Attitude Behaviour Patient Knowledge Attitude Behaviour Continuing medical education Tools (Computer – other) Organisation - changes Information - education Individual targets Needs assessments

4 Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Aim  to present and discuss challenges in the evaluation’ of interventions targeting behavior of patients, practice staff and GPs in the field of improving diabetes care

5 Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Intervention studies Evidense based medicine GP/clinical staff Patient “Ready to Act” Helle Terkildsen “Electronic facility “ Majbritt Jeppesen “Electronic Feed back” Trine Guldberg “Proactive nurse led intervention” Lise Juul

6 Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Ready to act???

7 Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Main points of the symposium

8 Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Ready to act Intervention linked to health promotion activities after early detection of T2 diabetes and prediabetes remains a future challenge….  Reach of intervention  Choice of outcomes of health promoting interventions  When do we have sufficient evidence for further implementation?

9 Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Internet based decision support used by patients  Outcome of the study will provide new knowledge on patients will and ability to use electronic decision support  And contribute in the development of patient adressed electronic decision support

10 Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Electronic feed back system sortable lists generated new insight into the quality of diabetes care in GP clinics attention to quality of diabetes care led to organisational changes

11 Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Nurse-led proactive support An upcoming intervention study will test the effect of  A training course for practice nurses with autonomy support as the core component

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