Preventive care practices for diabetes management in two primary care samples

Citation
Re. Glasgow et La. Strycker, Preventive care practices for diabetes management in two primary care samples, AM J PREV M, 19(1), 2000, pp. 9-14
Citations number
31
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Envirnomentale Medicine & Public Health
Journal title
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
ISSN journal
0749-3797 → ACNP
Volume
19
Issue
1
Year of publication
2000
Pages
9 - 14
Database
ISI
SICI code
0749-3797(200007)19:1<9:PCPFDM>2.0.ZU;2-4
Abstract
Purpose: To assess the level of physician performance on American Diabetes Association Provider Recognition Program (PRP) measures in two samples of p rimary care patients, as well as to identify patient, physician, and office characteristics related to performance levels. Methods: In the two studies, we surveyed 435 Type 2 diabetes patients, care d for by 47 different physicians, on their receipt of PRP preventive care a ctivities. Results: Overall, patients in the two samples reported receiving 74% and 64 % of recommended services. In both samples, performance of microvascular/gl ycemic control activities and cardiovascular lab checks (84% and 74%) was s ignificantly higher than behavioral self-management/patient-focused activit ies (61% and 48%) (p<0.001). From a set of patient, physician, and practice setting characteristics, only the use of community resources for chronic i llness management support was associated with service performance. Conclusions: We found considerable variability in the levels of performance in providing PRP-recommended activities. Greater attention should be focus ed on self-management and patient-focused activities, given that these are delivered less frequently than medical/laboratory checks. (C) 2000 American Journal of Preventive Medicine.