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Clinical coaching in primary care: Capable of improving control in patients with type 2 diabetes mellitus?
González-Guajardo, Eduardo Enrique; Salinas-Martínez, Ana María; Botello-García, Antonio; Mathiew-Quiros, Álvaro.
Afiliação
  • González-Guajardo EE; Internal Medicine Specialist, Health Planning Coordinator of the Medical Services Division, Mexican Institute of Social Security, Monterrey, Mexico.
  • Salinas-Martínez AM; Primary Care Specialist, Epidemiologic and Health Services Research Unit, Mexican Institute of Social Security, Monterrey, Mexico. Electronic address: amsalinasm@intercable.net.
  • Botello-García A; Primary Care Specialist, Medical Director of the Family Medicine Clinic No. 5, Mexican Institute of Social Security, Monterrey, Mexico.
  • Mathiew-Quiros Á; Primary Care Specialist, Epidemiologic and Health Services Research Unit, Mexican Institute of Social Security, Monterrey, Mexico.
Prim Care Diabetes ; 10(3): 171-8, 2016 Jun.
Article em En | MEDLINE | ID: mdl-26615758
AIMS: Few clinical coaching studies are both endorsed by real cases and focused on reducing suboptimal diabetes control. We evaluated the effectiveness of coaching on improving type 2 diabetes goals after 3 years of implementation in primary care. METHODS: A cross-sectional study with follow up was conducted during 2008-2011. Coaching consisted of guiding family doctors to improve their clinical abilities, and it was conducted by a medical doctor trained in skill building, experiential learning, and goal setting. Effectiveness was assessed by means of fasting plasma glucose and glycosylated hemoglobin outcomes. The main analysis consisted of 1×3 and 2×3 repeated measures ANOVAs. RESULTS: A significant coaching×time interaction was observed, indicating that the difference in glucose between primary care units with and without coaching increased over time (Wilks' lambda multivariate test, P<0.0001). Coaching increased 1.4 times (95%CI 1.3, 1.5) the possibility of reaching the fasting glucose goal after controlling for baseline values. There was also a significant improvement in glycosylated hemoglobin (Bonferroni-corrected p-value for pairwise comparisons, P<0.0001). CONCLUSIONS: A correctible and even preventable contributing component in diabetes care corresponds to physicians' performance. After 3 years of implementation, coaching was found to be worth the effort to improve type 2 diabetes control in primary care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Médicos de Família / Atenção Primária à Saúde / Diabetes Mellitus Tipo 2 / Médicos de Atenção Primária / Tutoria / Hipoglicemiantes Tipo de estudo: Diagnostic_studies / Etiology_studies / Guideline / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Equity_inequality Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Prim Care Diabetes Assunto da revista: ENDOCRINOLOGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: México País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Médicos de Família / Atenção Primária à Saúde / Diabetes Mellitus Tipo 2 / Médicos de Atenção Primária / Tutoria / Hipoglicemiantes Tipo de estudo: Diagnostic_studies / Etiology_studies / Guideline / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Equity_inequality Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Prim Care Diabetes Assunto da revista: ENDOCRINOLOGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: México País de publicação: Reino Unido