Primary Care Providers’ Prediabetes Screening, Testing, and Referral Behaviors
| Autor: | Kunthea Nhim, Gregory Wozniak, Patricia Schumacher, Ann L. Albright, Tamkeen Khan, Elizabeth T. Luman, Stephanie M. Gruss, Kate Kirley |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Referral Attitude of Health Personnel Epidemiology MEDLINE Psychological intervention 030209 endocrinology & metabolism Type 2 diabetes Primary care Logistic regression Physicians Primary Care Article Prediabetic State 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Electronic Health Records Humans Mass Screening 030212 general & internal medicine Prediabetes Life Style Referral and Consultation Internet Primary Health Care business.industry Public Health Environmental and Occupational Health Awareness Middle Aged medicine.disease United States Test (assessment) Diabetes Mellitus Type 2 Family medicine Female business |
| Zdroj: | American journal of preventive medicine |
| ISSN: | 0749-3797 |
| DOI: | 10.1016/j.amepre.2018.04.017 |
| Popis: | Introduction Intensive behavioral counseling is effective in preventing type 2 diabetes, and insurance coverage for such interventions is increasing. Although primary care provider referrals are not required for entry to the Centers for Disease Control and Prevention (CDC)–recognized National Diabetes Prevention Program lifestyle change program, referral rates remain suboptimal. This study aims to assess the association between primary care provider behaviors regarding prediabetes screening, testing, and referral and awareness of the CDC-recognized lifestyle change program and the Prevent Diabetes STAT: Screen, Test, and Act Today™ toolkit. Awareness of the lifestyle change program and the STAT toolkit, use of electronic health records, and the ratio of lifestyle change program classes to primary care physicians were hypothesized to be positively associated with primary care provider prediabetes screening, testing, and referral behaviors. Methods Responses from primary care providers (n=1,256) who completed the 2016 DocStyles cross-sectional web-based survey were analyzed in 2017 to measure self-reported prediabetes screening, testing, and referral behaviors. Multivariate logistic regression was used to estimate the effects of primary care provider awareness and practice characteristics on these behaviors, controlling for provider characteristics. Results Overall, 38% of primary care providers were aware of the CDC-recognized lifestyle change program, and 19% were aware of the STAT toolkit; 27% screened patients for prediabetes using a risk test; 97% ordered recommended blood tests; and 23% made referrals. Awareness of the lifestyle change program and the STAT toolkit was positively associated with screening and referring patients. Primary care providers who used electronic health records were more likely to screen, test, and refer. Referring was more likely in areas with more lifestyle change program classes. Conclusions This study highlights the importance of increasing primary care provider awareness of and referrals to the CDC-recognized lifestyle change program. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect