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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 Topic(s) Achieving Health System Goals, and Role of Primary Care Keyword(s) Quality Of Care Volume 6(4):1195-1202 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 2022 Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations Go to Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations 2011 Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA) Go to Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA) 2023 Foundational Collective Actions for Achieving Agile High-Quality Primary Care in the United States Go to Foundational Collective Actions for Achieving Agile High-Quality Primary Care in the United States 2020 Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) Go to Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM)
Author(s) Dai, Mingliang, Peabody, Michael R, Peterson, Lars E, and Mainous, Arch G Topic(s) Achieving Health System Goals, and Role of Primary Care Keyword(s) Quality Of Care Volume 6(4):1195-1202 Source Family Medicine and Community Health
ABFM Research Read all 2022 Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations Go to Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations 2011 Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA) Go to Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA) 2023 Foundational Collective Actions for Achieving Agile High-Quality Primary Care in the United States Go to Foundational Collective Actions for Achieving Agile High-Quality Primary Care in the United States 2020 Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) Go to Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM)
2022 Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations Go to Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations
2011 Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA) Go to Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA)
2023 Foundational Collective Actions for Achieving Agile High-Quality Primary Care in the United States Go to Foundational Collective Actions for Achieving Agile High-Quality Primary Care in the United States
2020 Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) Go to Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM)