Bridging the knowledge–action gap in diabetes: information technologies, physician incentives and consumer incentives converge
Autor: | Jeremy Nobel |
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Rok vydání: | 2006 |
Předmět: |
Health Knowledge
Attitudes Practice Informatics Patients Psychological intervention 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Nursing Physicians Health care Diabetes Mellitus Humans Medicine 030212 general & internal medicine Reimbursement Motivation Insurance Health Health management system business.industry Health Policy Health Maintenance Organizations Information technology General Medicine medicine.disease United States Physician Incentive Plans Incentive Group Practice Medical emergency Rural area business |
Zdroj: | Chronic Illness. 2:59-69 |
ISSN: | 1745-9206 1742-3953 |
Popis: | The gap between current medical knowledge and its application in chronic disease management is especially apparent in diabetes care. Although research over the last decade has shown that adherence to standards of care can prevent or delay the onset of devastating diabetic complications, little more than one-third of patients achieve adequate glycaemic control. Obstacles to better care include `system' factors such as inadequate record-keeping and reimbursement policies that reimburse amply for illness but poorly for diabetes education and interventions via telephone and computer. Disparities in healthcare compound the difficulty among vulnerable populations in urban and rural areas. Emerging healthcare delivery systems that encourage payers, providers and consumers to improve diabetes care with the use of information technology and financial incentives are described in different health management settings. |
Databáze: | OpenAIRE |
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