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 Patient and Clinician Perceptions of Prediabetes: A Mixed-Methods Primary Care Study Patient and Clinician Perceptions of Prediabetes: A Mixed-Methods Primary Care Study 2019 Author(s) Roper, K L, Thomas, A R, Hieronymus, L, Brock, Audrey, and Keck, J Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Quality Of Care Volume Diabetes Educator Source Diabetes Educator Purpose The purpose of the study was to assess patient and clinician perceptions of prediabetes in an academic family medicine practice. Data were collected in preparation for an implementation study to increase utilization of the National Diabetes Prevention Program (N-DPP). Methods In this mixed-methods study, discussions from 3 focus groups composed of patients with prediabetes were evaluated using thematic analysis for their understanding of and beliefs about prediabetes, care experiences, and attitudes toward N-DPP. Clinicians completed a Likert-scaled survey assessing attitudes and perceived barriers to providing prediabetes care. Results Among the 15 focus group participants, more than half were not aware of their diagnosis. Attitudes toward prediabetes were mixed: while many believed it was serious and elicited more fear than being “at risk,” others thought there were varying degrees of risk within the same diagnosis, making the diagnosis less impactful. Patients repeatedly expressed the perception that clinicians were not forthcoming about necessary behavior changes. Patients agreed on barriers to N-DPP, including scheduling and transportation. Clinicians (N = 31) concurred that patients lack awareness of their prediabetes diagnosis. They reported that time is available to screen all patients and that a prediabetes diagnosis is effective for advising patients of the need for lifestyle modification. There was consensus from both patients and clinicians that prediabetes is curable. Conclusions Increased patient awareness and patient-centered education is needed to overcome barriers to prediabetes care. To facilitate implementation of N-DPP referral processes, clinicians should clearly communicate risk, treatment information, and linkage to N-DPP as the suggested treatment plan. Read More ABFM Research Read all 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 Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. Go to Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. 2019 Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models Go to Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models 2013 Toward Graduate Medical Education (GME) Accountability: Measuring the Outcomes of GME Institutions Go to Toward Graduate Medical Education (GME) Accountability: Measuring the Outcomes of GME Institutions
Author(s) Roper, K L, Thomas, A R, Hieronymus, L, Brock, Audrey, and Keck, J Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Quality Of Care Volume Diabetes Educator Source Diabetes Educator
ABFM Research Read all 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 Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. Go to Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. 2019 Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models Go to Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models 2013 Toward Graduate Medical Education (GME) Accountability: Measuring the Outcomes of GME Institutions Go to Toward Graduate Medical Education (GME) Accountability: Measuring the Outcomes of GME Institutions
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 Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. Go to Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices.
2019 Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models Go to Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models
2013 Toward Graduate Medical Education (GME) Accountability: Measuring the Outcomes of GME Institutions Go to Toward Graduate Medical Education (GME) Accountability: Measuring the Outcomes of GME Institutions
