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标题：The effectiveness of implementing a reminder system into routine clinical practice: does it increase postpartum screening in women with gestational diabetes?
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作者：A. K. Shea ; B. R. Shah ; H. D. Clark 等
期刊名称：Chronic Diseases and Injuries in Canada
印刷版ISSN：1925-6515
电子版ISSN：1925-6523
出版年度：2011
卷号：31
期号：2
出版社：Public Health Agency of Canada
摘要：Introduction: During regular care, women with previous gestational diabetes mellitus (GDM) rarely receive the recommended screening test for type 2 diabetes, a 2-hour oral glucose tolerance test ( OGTT), in the postpartum period. The current study examined whether the implementation of a reminder system improved screening rates. Methods: Based on our previous randomized control trial, we implemented a postpartum reminder (letter or phone call) protocol into routine care at two of three clinical sites. We verified postpartum testing by searching hospital laboratory databases and by linking to the provincial physician service claims database. The primary outcome was the proportion of patients who underwent an OGTT within 6 months of delivery. Results: Women who received care in a setting using a reminder system were more likely to receive an OGTT within 6 months postpartum (28%) compared with usual care (14%). The OGTT rates for both reminder groups were lower than that found in our randomized control trial (28% vs. 60%). Conclusion: Although the screening rates remain low, postpartum reminders doubled screening rates using the recommended test, the OGTT.
关键词：gestational diabetes; postpartum; screening; reminders; type 2 diabetes prevention