From 1998 to 2002, researchers at the Stanford University School of Medicine developed a home-based, nurse-directed system of care for people with multiple chronic conditions and tested it in a managed care clinic.
Researchers reported findings in an article published in the April 2003 Diabetes Care, including:
- The intervention significantly improved patients' diabetes and lowered cholesterol levels.
- Intervention patients did not increase their medical utilization.
- Both patients and physicians expressed great satisfaction with the program.
- There were no significant differences between intervention and control groups for any self-care or psychosocial factors.