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Home Research Research Library Adherence to clinical guidelines for monitoring diabetes in primary care settings. Adherence to clinical guidelines for monitoring diabetes in primary care settings. 2018 Author(s) Dai, Mingliang, Peabody, Michael R, Peterson, Lars E, and Mainous, Arch G III Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Quality Of Care Volume Family Medicine and Community Health Source Family Medicine and Community Health Objective: Adherence to clinical guidelines is key to improving diabetes care. Contemporary knowledge of guideline adherence is lacking. This study sought to produce a national snapshot of primary care physicians’ (PCPs) adherence to the American Diabetes Association guidelines for monitoring diabetes and determine whether continuity of care promotes adherence. Methods: Using the 2013 National Ambulatory Medical Care Survey, we examined adherence to ordering hemoglobin A1c (HbA1c) and lipid profile tests as recommended by the American Diabetes Association for monitoring diabetes in 2379 primary care visits of patient with diabetes. Results: In the preceding 12 months, less than 60.0% of the patients were given a test recommended for monitoring diabetes (58.0% for HbA1c and 57.0% for lipid profile). Continuity of care with PCPs increased the odds of adhering to diabetes monitoring guidelines by 36.0% for the HbA1c test (P=0.06) and by 76.0% for the lipid profile test (P=0.0006). Conclusion: A substantial gap exists in achieving optimal monitoring for diabetes in primary care settings in the United States. While PCPs are ideally positioned to ensure that guidelines are closely followed, we found that even in primary care settings, patient-provider continuity of care was associated with guideline adherence. ABFM Research Read all 2019 Accountable Care Organizations Serving Deprived Communities Are Less Likely to Share in Savings Go to Accountable Care Organizations Serving Deprived Communities Are Less Likely to Share in Savings 2024 The Gender Wage Gap Among Early-Career Family Physicians Go to The Gender Wage Gap Among Early-Career Family Physicians 2016 Access to Primary Care in US Counties Is Associated with Lower Obesity Rates Go to Access to Primary Care in US Counties Is Associated with Lower Obesity Rates 2020 Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities Go to Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities
Author(s) Dai, Mingliang, Peabody, Michael R, Peterson, Lars E, and Mainous, Arch G III Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Quality Of Care Volume Family Medicine and Community Health Source Family Medicine and Community Health
ABFM Research Read all 2019 Accountable Care Organizations Serving Deprived Communities Are Less Likely to Share in Savings Go to Accountable Care Organizations Serving Deprived Communities Are Less Likely to Share in Savings 2024 The Gender Wage Gap Among Early-Career Family Physicians Go to The Gender Wage Gap Among Early-Career Family Physicians 2016 Access to Primary Care in US Counties Is Associated with Lower Obesity Rates Go to Access to Primary Care in US Counties Is Associated with Lower Obesity Rates 2020 Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities Go to Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities
2019 Accountable Care Organizations Serving Deprived Communities Are Less Likely to Share in Savings Go to Accountable Care Organizations Serving Deprived Communities Are Less Likely to Share in Savings
2024 The Gender Wage Gap Among Early-Career Family Physicians Go to The Gender Wage Gap Among Early-Career Family Physicians
2016 Access to Primary Care in US Counties Is Associated with Lower Obesity Rates Go to Access to Primary Care in US Counties Is Associated with Lower Obesity Rates
2020 Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities Go to Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities