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Home Research Research Library Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model 2014 Author(s) Peterson, Lars E, Blackburn, B E, Phillips, Robert L, and Puffer, James C Topic(s) Achieving Health System Goals, Family Medicine Certification, and Role of Primary Care Keyword(s) Quality Of Care, and Performance Improvement Volume 34(1):47-55 Source Journal of Continuing Education in the Health Professions INTRODUCTION: Improving the care of patients with diabetes is a health care priority. Through Part 4 of Maintenance of Certification for Family Physicians (MC-FP), American Board of Family Medicine (ABFM) diplomates participate in quality improvement (QI) modules for diabetes. Our objective was to determine associations between physician characteristics and actions taken during Part 4 diabetes modules with quality of care outcomes. METHODS: The study sample was all Part 4 modules completed by family physicians from 2005 to 2012. Descriptive statistics were used to characterize the physicians and their behavior in the module. We used linear regression to test for associations between choice of intervention, mode of intervention, and chronic care model domain with improvement in quality measures. RESULTS: There were 7924 modules completed by family physicians, whose mean age was 48.2 years; 61.9% were male, and 76.9% lived in urban areas. All physician and patient quality measures improved over the course of the Part 4 module. Regression models found that only baseline performance was consistently associated with quality outcomes. No other consistent association was seen between intervention type, mode, or chronic care model domain and greater likelihood of improvements; however, every quality measure improved. DISCUSSION: Through MC-FP, family physicians improved the quality of care they delivered to diabetic patients. Improvement of care across nearly all measures, despite no consistent associations between processes of care or physician characteristics with improvement, suggests that participation in QI itself may lead to higher quality health care and this may be achieved through MC-FP. Read More ABFM Research Read all 2010 Controlling hypertension requires a new primary care model Go to Controlling hypertension requires a new primary care model 2021 Proportion of Family Physicians in Solo and Small Practices is on the Decline Go to Proportion of Family Physicians in Solo and Small Practices is on the Decline 1989 Anxiety Go to Anxiety 2004 The Future of Family Medicine: a collaborative project of the family medicine community Go to The Future of Family Medicine: a collaborative project of the family medicine community
Author(s) Peterson, Lars E, Blackburn, B E, Phillips, Robert L, and Puffer, James C Topic(s) Achieving Health System Goals, Family Medicine Certification, and Role of Primary Care Keyword(s) Quality Of Care, and Performance Improvement Volume 34(1):47-55 Source Journal of Continuing Education in the Health Professions
ABFM Research Read all 2010 Controlling hypertension requires a new primary care model Go to Controlling hypertension requires a new primary care model 2021 Proportion of Family Physicians in Solo and Small Practices is on the Decline Go to Proportion of Family Physicians in Solo and Small Practices is on the Decline 1989 Anxiety Go to Anxiety 2004 The Future of Family Medicine: a collaborative project of the family medicine community Go to The Future of Family Medicine: a collaborative project of the family medicine community
2010 Controlling hypertension requires a new primary care model Go to Controlling hypertension requires a new primary care model
2021 Proportion of Family Physicians in Solo and Small Practices is on the Decline Go to Proportion of Family Physicians in Solo and Small Practices is on the Decline
2004 The Future of Family Medicine: a collaborative project of the family medicine community Go to The Future of Family Medicine: a collaborative project of the family medicine community