Researchers implemented a team-based intervention to reduce low-density lipoprotein cholesterol in patients with diabetes and heart disease, using nurses to follow an established protocol for adjusting LDL-reducing medications for individual patients.
Approximately 50 percent of patients completed the intervention program, and 52 percent of those patients achieved predetermined cholesterol-reduction targets.
While primary care physician acceptance of the program was high, the administrative effort required to identify, enroll and follow up with patients eligible for team-based care programs highlighted the need for infrastructural change to improve efficiency for team-based programs. Researchers noted finding a way to accommodate team-based care in an efficient and effective manner must be addressed for successful extension of primary care.
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