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
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.