关键词：计算机应用;决策支持系统;糖尿病;医疗服务;临床医学;聚类;社区;比较;计算机程序;连续性;合同;控制;医院;管理;患者;模式;随机变量;报告;网站
摘 要：The overall aim of this proposal is to test the clinical effects of a Computer Assisted Decision Support (CADS) System for the management of Type 2 diabetes (T2D) by primary care providers (PCPs). Moreover, the aims are to compare longitudinal patterns of change within and between patients who are managed with the CADS system for differing durations. This comparison will help us to understand the clinical utility of using the CADS system continuously or up to a certain threshold of patient improvement. To achieve these aims, we requested a second year of funding (first year funded through United States Army Medical Research Acquisition Activity USAMRAA), contract number W81XWH-09- 2-0196, for a prospective, cluster, randomized controlled trial (RCT). The ongoing project is a multi-site study including the Walter Reed National military Medical Center, Fort Belvoir Community Hospital (FBCH), and the Kimbrough Ambulatory Care Center. The proposal herein is not duplicative of any current study but rather an extension of the already funded one. A detailed, technical explanation of the software and hardware elements of this study are included in reports for the original CADS study and available upon request.