To the Editor: In their comprehensive systematic review of quality improvement strategies for improving glycemic control in patients with diabetes, Dr Shojania and colleagues1 found that team changes and case management resulted in the largest reductions in levels of glycosylated hemoglobin (HbA1c,), particularly when the case managers could make medication changes without prior physician approval.
Pignone M, DeWalt D. Quality Improvement Strategies for Type 2 Diabetes. JAMA. 2006;296(22):2680–2681. doi:10.1001/jama.296.22.2680-b
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