Diplomate Spotlight Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook Read Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook
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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. Read More ABFM Research Read all 2016 Reimagining Our Relationships with Patients: A Perspective from the Keystone IV Conference Go to Reimagining Our Relationships with Patients: A Perspective from the Keystone IV Conference 2015 Fewer family physicians are in solo practices Go to Fewer family physicians are in solo practices 2018 Response: Re: Burnout in Young Family Physicians: Variation Across States Go to Response: Re: Burnout in Young Family Physicians: Variation Across States 2025 Evaluating primary care expenditure in Australia: the Primary Care Spend (PC Spend) model Go to Evaluating primary care expenditure in Australia: the Primary Care Spend (PC Spend) model
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 2016 Reimagining Our Relationships with Patients: A Perspective from the Keystone IV Conference Go to Reimagining Our Relationships with Patients: A Perspective from the Keystone IV Conference 2015 Fewer family physicians are in solo practices Go to Fewer family physicians are in solo practices 2018 Response: Re: Burnout in Young Family Physicians: Variation Across States Go to Response: Re: Burnout in Young Family Physicians: Variation Across States 2025 Evaluating primary care expenditure in Australia: the Primary Care Spend (PC Spend) model Go to Evaluating primary care expenditure in Australia: the Primary Care Spend (PC Spend) model
2016 Reimagining Our Relationships with Patients: A Perspective from the Keystone IV Conference Go to Reimagining Our Relationships with Patients: A Perspective from the Keystone IV Conference
2015 Fewer family physicians are in solo practices Go to Fewer family physicians are in solo practices
2018 Response: Re: Burnout in Young Family Physicians: Variation Across States Go to Response: Re: Burnout in Young Family Physicians: Variation Across States
2025 Evaluating primary care expenditure in Australia: the Primary Care Spend (PC Spend) model Go to Evaluating primary care expenditure in Australia: the Primary Care Spend (PC Spend) model