Effectiveness of RADAR: An Innovative Model to Organize Diabetes Care in First Nations Communities.
Dean T EurichLisa A WozniakAllison SoprovichJasjeet K Minhas-SandhuLynden CrowshoeJeffrey A JohnsonSalim SamananiPublished in: Clinical diabetes : a publication of the American Diabetes Association (2023)
Challenges exist for the management of diabetes care in First Nations populations. RADAR (Reorganizing the Approach to Diabetes through the Application of Registries) is a culturally appropriate, innovative care model that incorporates a disease registry and electronic health record for local care provision with remote coordination, tailored for First Nations people. This study assessed the effectiveness of RADAR on patient outcomes and diabetes care organization in participating communities in Alberta, Canada. It revealed significant improvements in outcomes after 2 years, with 91% of patients achieving a primary combined end point of a 10% improvement in or persistence at target for A1C, systolic blood pressure, and/or LDL cholesterol. Qualitative assessment showed that diabetes care organization also improved. These multimethod findings support tailored diabetes care practices in First Nations populations.
Keyphrases
- blood pressure
- electronic health record
- healthcare
- palliative care
- end stage renal disease
- randomized controlled trial
- systematic review
- type diabetes
- chronic kidney disease
- quality improvement
- ejection fraction
- newly diagnosed
- cardiovascular disease
- smoking cessation
- primary care
- heart failure
- left ventricular
- peritoneal dialysis
- pain management
- heart rate
- glycemic control
- genetic diversity
- hypertensive patients
- blood glucose
- patient reported
- insulin resistance
- chronic pain