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Benjamin Littenberg, MD; Charles D. MacLean, MDCM

Arch Intern Med. 2008;168(8):797-799.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

In the United States, the quality of care for chronic conditions such as diabetes is very poor.^1-2 The Chronic Care Model, the best available theoretical model of how health care should be delivered, offers a framework for how it can be improved.^3-4 One of the central features of the model is the use of registries to feed back organizational or health care provider performance to improve quality of care. Are registries a good idea? Who should maintain them? How should they be used? Which patients should be included?

Registries have a long history in health care. Tracking births, deaths, and infectious diseases allowed the development of the science of epidemiology and supported major public health breakthroughs such as the eradication of small pox. Registry data led to improvements in our infrastructure that rendered cholera and yellow fever rare in this country. Registries for . . . [Full Text of this Article]

USES OF A DIABETES REGISTRY

Epidemiology—Measuring the Problem

Motivating Decision Makers

Designing Programs

Assessing and Monitoring Disparities

Improving Quality

Providing Individualized Care

WHO SHOULD PARTICIPATE?

WHO SHOULD PAY?

AUTHOR INFORMATION

Author Affiliations: Division of General Internal Medicine, University of Vermont, Burlington.

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