J Am Acad Nurse Prac
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J Am Acad Nurse Prac · Dec 2005
Quality improvement and changes in diabetic patient outcomes in an academic nurse practitioner primary care practice.
To examine a set of system interventions in the management of patients with diabetes and the outcomes of their care. ⋯ Unequivocally, this project demonstrated that systems-level changes result in improved care being provided to patients; however, these had minimal impact on the patient outcome variables. Promoting change in patient behavior is difficult, which may have contributed to the lack of significance in this area, while the variables under the direct control of the clinic staff were more easily changed.