Journal of general internal medicine
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Randomized Controlled Trial
A Telehealth-supported, Integrated care with CHWs, and MEdication-access (TIME) Program for Diabetes Improves HbA1c: a Randomized Clinical Trial.
Many individuals with diabetes live in low- or middle-income settings. Glycemic control is challenging, particularly in resource-limited areas that face numerous healthcare barriers. ⋯ NCT03394456, accessed at https://clinicaltrials.gov/ct2/show/NCT03394456.
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Nonadherence to medications is costly and improving adherence is difficult, requiring multifactorial solutions, including policy solutions. ⋯ Results indicate that scope-of-practice regulations that allow NPs to practice and prescribe without physician oversight are associated with improved medication adherence. We postulate that the mechanism for this effect is increased access to health care services, which in turn increases access to prescriptions. Our results suggest that policies allowing NPs to maximally use their skills can be beneficial to patients.