DICE (Diabetes program evaluation)

The Primary Care Diabetes Support Program: Addressing Transitions in Care for Medically
Complex, Unattached, and Socially Complex Patients with Diabetes   (DiCE)

The Primary Care Diabetes Support Program (PCDSP) in London, Ontario is an inter-disciplinary, team-based, primary care practice that cares for people with diabetes whose care is made more complex because of medical issues, lack of a regular primary care provider, and/or poverty and other social care issues. The PCDSP takes a wholistic, patient-centred primary care approach that balances patients’ goals and preferences with diabetes treatment goals. The PCDSP works in collaboration with the patients’ family physician (where available) to develop and coordinate patients’ diabetes management plan. While the PCDSP has been shown to deliver high quality care, its broader health system outcomes have not been evaluated. This project will examine the impact of the PCDSP on patients and health care providers, reduction of diabetes-related complications, and health system costs. Project findings will be used to support expanding the PCDSP to other sites and other chronic conditions

Principal Investigators: Drs. Maria Mathews, Stewart Harris and Lindsay Hedden

Co-Investigators: Yun-Hee Choi, Bridget Ryan, Michael Green, Jennifer Donnan, Elisabeth Harvey, Sonja Reichert, Shannon Sibbald

Patient Partners: Mark Alfieri, Cheryl Read