Branger 1999.
Methods | CBA
Characteristics of studies using second site as control: NOT DONE
Follow up:
‐ providers: DONE
‐ patients: NOT CLEAR
Blinded assessment: DONE Baseline: DONE for patient contacts NOT CLEAR for recorded parameters per patient, letters send from GP to consultant and vice versa
Reliable outcomes: DONE
Protection against contamination: NOT CLEAR unit of analysis error |
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Participants | 32 general practitioners in the Apeldoorn region (The Netherlands) that were working with the computer based patient record and with electronic data interchange (EDI). In addition one internal medicine consultant participated. Patients treated by the GP (Type 1 and Type 2 diabetes). providers ‐ 32 general practitioners + 1 internal medicine consultant patients ‐ 275 practices ‐ 1 hospital and ? practices | |
Interventions | Intervention group:
Organisational intervention (changes in medical record systems) Control group: usual care without electronic data interchange between different care providers Length of intervention: 1 year |
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Outcomes | PROCESS:
Patient contacts with GP
Patient contacts with internal medicine consultant
Letters from GP to consultant and vice versa Recorded items per patient: Kidney function: ‐Creatinine level ‐Proteinuria Eye condition: Assessment ophthalmologist Insulin control Glucose level HbA1c level Fructosamine level Other Blood pressure Cholesterol level Triglyceride level Weight PATIENT: NONE |
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Notes | Guidelines not specified in the paper | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment? | Unclear risk | D ‐ Not used |