Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
Home Research Research Library The Impact of Social and Clinical Complexity on Diabetes Control Measures The Impact of Social and Clinical Complexity on Diabetes Control Measures 2020 Author(s) Cottrell, Erika K, O’Malley, Jean P, Dambrun, Katie, Park, Brian, Hendricks, Michelle A, Xu, Hongzhi, Charlson, Mary, Bazemore, Andrew W, Shenkman, Elizabeth Ann, Sears, Abby, and DeVoe, Jennifer E Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Cost Of Care, Payment, Population Health, and Quality Of Care Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine Purpose: In an age of value-based payment, primary care providers are increasingly scrutinized on performance metrics that assess quality of care, including the outcomes of their patient population in key areas such as diabetes control. Although such measures often adjust for patient clinical risk factors or clinical complexity, most do not account for the social complexity of patient populations, despite research demonstrating the strong association between social factors and health. Methods: Using patient electronic health record data from 2 large community health center networks serving safety net patients, we assessed the effect of both clinical and social risk factors on poor glucose control among diabetics. Logistic regression results were used to estimate the impact of adjusting for both clinical and social complexity on provider performance metrics. Clinical complexity was measured at the patient-level using the Charlson Comorbidity Index. Social complexity was measured at the community-level using the Social Deprivation Index. Results: Clinical complexity alone was not consistently associated with poor diabetes control (ie, HbA1c > 9%) in diabetic patients with HbA1c testing during the study period. However, increasing social complexity was significantly associated with higher rates of poor diabetic control in both cohorts. After adding adjustment for social complexity down to the national median score, our models suggest that approximately 25% of providers would have 1 to 2% improvement in the assessment of their diabetes control measures, with 45% showing a 2 to 5% improvement, and 5% showing more than a 5% improvement. Conclusions: Providers caring for patients with greater social risk factors may benefit from having their performance metrics adjusted for the social complexity of their patient populations. Read More ABFM Research Read all 2024 Celebrating 25 Years of High-Quality Family Medicine and Primary Care Policy Research Go to Celebrating 25 Years of High-Quality Family Medicine and Primary Care Policy Research 2021 Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups Go to Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups 2020 Quality Changes Among Primary Care Clinicians Participating in the Transforming Clinical Practice Initiative Go to Quality Changes Among Primary Care Clinicians Participating in the Transforming Clinical Practice Initiative 2016 Sponsoring Institutions with Five or Fewer Residency Programs Produce a Larger Proportion of General Internists and Family Physicians Go to Sponsoring Institutions with Five or Fewer Residency Programs Produce a Larger Proportion of General Internists and Family Physicians
Author(s) Cottrell, Erika K, O’Malley, Jean P, Dambrun, Katie, Park, Brian, Hendricks, Michelle A, Xu, Hongzhi, Charlson, Mary, Bazemore, Andrew W, Shenkman, Elizabeth Ann, Sears, Abby, and DeVoe, Jennifer E Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Cost Of Care, Payment, Population Health, and Quality Of Care Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine
ABFM Research Read all 2024 Celebrating 25 Years of High-Quality Family Medicine and Primary Care Policy Research Go to Celebrating 25 Years of High-Quality Family Medicine and Primary Care Policy Research 2021 Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups Go to Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups 2020 Quality Changes Among Primary Care Clinicians Participating in the Transforming Clinical Practice Initiative Go to Quality Changes Among Primary Care Clinicians Participating in the Transforming Clinical Practice Initiative 2016 Sponsoring Institutions with Five or Fewer Residency Programs Produce a Larger Proportion of General Internists and Family Physicians Go to Sponsoring Institutions with Five or Fewer Residency Programs Produce a Larger Proportion of General Internists and Family Physicians
2024 Celebrating 25 Years of High-Quality Family Medicine and Primary Care Policy Research Go to Celebrating 25 Years of High-Quality Family Medicine and Primary Care Policy Research
2021 Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups Go to Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups
2020 Quality Changes Among Primary Care Clinicians Participating in the Transforming Clinical Practice Initiative Go to Quality Changes Among Primary Care Clinicians Participating in the Transforming Clinical Practice Initiative
2016 Sponsoring Institutions with Five or Fewer Residency Programs Produce a Larger Proportion of General Internists and Family Physicians Go to Sponsoring Institutions with Five or Fewer Residency Programs Produce a Larger Proportion of General Internists and Family Physicians