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Evidence to Improve Care

Chronic Disease Management Systems for the Treatment and Management of Diabetes in Primary Health Care Practices in Ontario


Ontario Health Technology Advisory Committee Recommendations

  • The Ontario Health Technology Advisory Committee recommends that information systems for the management of chronic disease be subject to the same rigorous standards of evidence applied to other forms of technology.

  • The Ontario Health Technology Advisory Committee recommends further controlled evaluations of these types of electronic tools, and consideration of how they will operate and integrate with existing e-health technologies.

Read the full OHTAC Recommendation report



In Ontario, many patients with diabetes do not receive care and checks as often as they should. An Ontario report showed less than half of patients with diabetes (49 percent) get care as often as guidelines recommend. A web-based system is available to help doctors and patients make decisions about managing chronic diseases, such as diabetes.


Health Quality Ontario Reviews Chronic Disease Management Systems

Web-based management systems are believed to make care for patients with diabetes better by helping doctors follow guidelines. An added benefit is records are more accurate when test results are shared between laboratories and doctors’ offices electronically.


Evaluation of a Chronic Disease Management System for the Treatment and Management of Diabetes in Primary Health Care Practices in Ontario: An Observational Study
April 2014 (PDF)


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The Ministry of Health and Long-Term Care endorses these recommendations.

The Ministry of Health and Long-Term Care has provided the following response: The Ministry agrees with these recommendations. The Ontario Laboratory Information System (OLIS) is operational and as of November 2016, OLIS collects 88% of all lab results generated by hospital, public health and community laboratories ensuring consistent electronic reporting to providers. Nearly 100,000 clinical users have access to OLIS data to support patient care.




Health Technology Assessment at Health Quality Ontario

As part of our core function to promote health care supported by the best available evidence, we use established scientific methods to analyze the evidence for a wide range of health interventions, including diagnostic tests, medical devices, interventional and surgical procedures, health care programs and models of care. These analyses are informed by input from a range of individuals, including patients and clinical experts. The Ontario Health Technology Advisory Committee (OHTAC) — a committee of the Health Quality Ontario board of directors — reviews the evidence and makes recommendations about whether health care interventions should be publicly funded or not. Draft recommendations are posted on the Health Quality Ontario website for feedback. Final recommendations are approved by our board of directors and then shared with the Ministry of Health and Long-Term Care. For more detailed information, visit our Evidence to Improve Care pages.



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