Evidence map›Paper›PMID 31944895›Full record

ArticlePopulation health management2020

Care Team Integration in Primary Care Improves One-Year Clinical and Financial Outcomes in Diabetes: A Case for Value-Based Care.

Addie L Fortmann, Chris Walker, Kelly Barger, Maire Robacker, Robin Morrisey, Kristine Ortwine, Ioanna Loupasi, Ina Lee, Lou Hogrefe, Christine Strohmeyer and 1 more

Open access · greenAbstract read
In one paragraph

Article in Population health management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Value-Based Integrated Care: A Systematic Literature Review.International journal of health policy and management · 2024
    Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Addie L FortmannScripps Whittier Diabetes Institute, San Diego, California, USA.
Chris WalkerScripps Whittier Diabetes Institute, San Diego, California, USA.
Kelly BargerScripps Whittier Diabetes Institute, San Diego, California, USA.
Maire RobackerScripps Whittier Diabetes Institute, San Diego, California, USA.
Robin MorriseyScripps Whittier Diabetes Institute, San Diego, California, USA.
Kristine OrtwineScripps Health, San Diego, California, USA.
Ioanna LoupasiScripps Whittier Diabetes Institute, San Diego, California, USA.
Ina LeeScripps Health, San Diego, California, USA.
Lou HogrefeScripps Coastal Medical Group, San Diego, California, USA.
Christine StrohmeyerScripps Coastal Medical Group, San Diego, California, USA.
Athena Philis-TsimikasScripps Whittier Diabetes Institute, San Diego, California, USA.
Scripps Whittier Diabetes Institute · USScripps Health · USRegional Health · USScripps Clinic Medical Group · US

Funding

Scripps Translational Science InstituteUL1TR002550 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI TOPOL, ERIC JEFFREY · 2018 to 2022
$28.9M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
NCATS NIH HHS UL1 TR002550NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

Despite significant treatment advances, diabetes outcomes remain suboptimal and health care costs continue to rise. There are limited data on the feasibility and financial implications of integrating a diabetes-specific care team in the primary care setting (ie, where the majority of diabetes is treated). This pragmatic quality improvement project investigated whether a cardiometabolic care team intervention (CMC-TI) could achieve greater improvements in clinical, behavioral, and cost outcomes compared to usual diabetes care in a large primary care group in Southern California. Over 12 months, n = 236 CMC-TI and n = 239 usual care patients with type 1 or 2 diabetes were identified using the electronic medical record. In the CMC-TI group, a registered nurse (RN)/certified diabetes educator care manager, medical assistant health coach, and RN depression care manager utilized electronic medical record-based risk stratification reports, standardized decision-support tools, live and remote tailored treatments, and coaching to manage care. Results indicated that the CMC-TI group achieved greater improvements in glycemic and lipid control, diabetes self-management behaviors, and emotional distress over 1 year compared with the usual care group (all

Indexed as

Diabetes Mellitus, Type 2Blood GlucoseHealth BehaviorHumansMalePatient Care TeamPrimary Health CareBlood Glucosecardiometaboliccare managementclinical outcomesdiabetesfinancial outcomes

Identifiers

PMID31944895
PMCPMC7864113
OpenAlexW3005423673

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.