The abstract is read at the publisher; the summary is JClub's.
A best practice advisory in the electronic health record increased DSMES referral rates for adults with type 2 diabetes in central North Carolina to 13.7% at 18 months.
- Why it matters: DSMES engagement is suboptimal in type 2 diabetes, and clinics need practical ways to raise referral uptake during routine primary care visits.
- What they did: In a cluster-randomized controlled trial across four primary care practices, a BPA triggered for eligible patients; after 12 months, standing orders extended deployment to nurses or medical assistants.
- The result: DSMES referrals were 12.9% vs 1.2% at 12 months and 13.7% vs 1.6% at 18 months (both P < 0.001), with adjusted odds ratios of 10.55 and 9.44.
The findingWhy it mattersWhat they didThe result
AI summary of the abstract · may contain errors · not medical advice · read the paper.