Moving diabetes management from clinic to community: development of a prototype based on automated voice messaging

Diabetes Educ. 1997 Nov-Dec;23(6):672-80. doi: 10.1177/014572179702300607.


The purpose of this study is twofold. First, it provides a review of the literature supporting the development of a new service to help patients with diabetes and their providers manage their care. This service, automated voice messaging (AVM) with nurse follow-up, allows for systematic and intensive patient monitoring and diabetes education as well as a means of focusing clinical resources where they are most needed. Second, it provides a description of a prototype AVM-based diabetes management service that has been developed as part of two ongoing, randomized, controlled trials to test the efficacy of AVM care for patients with Type 2 diabetes. Preliminary findings from implementing this service in two large public healthcare systems suggest that AVM-supported care is feasible, desirable by clinicians and patients with diabetes, and may identify serious health problems that otherwise would go unnoted through standard means of clinic-based patient care.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Clinical Protocols
  • Community Health Services*
  • Diabetes Mellitus / therapy*
  • Humans
  • Patient Education as Topic / methods*
  • Primary Health Care
  • Telecommunications / organization & administration*
  • Telecommunications / statistics & numerical data
  • Telephone