Coordinated Primary and Specialty Care for Type 2 Diabetes Mellitus, Guidelines, and Systems: An Educational Needs Assessment
| Autor: | Walter W. Wolyniec, Julie Brown, Richard S. Beaser, Katie M. Ronk, James Neighbours, Eyiuche N. Okeke |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Referral Endocrinology Diabetes and Metabolism education Specialty Primary care Physicians Primary Care law.invention Professional Competence Endocrinology Nursing law Humans Hypoglycemic Agents Insulin Medicine Practice Patterns Physicians' Physician's Role Referral and Consultation Competence (human resources) Internet Evidence-Based Medicine business.industry Type 2 Diabetes Mellitus General Medicine Evidence-based medicine United States Diabetes Mellitus Type 2 Health Care Surveys Family medicine Practice Guidelines as Topic Needs assessment CLARITY Interdisciplinary Communication business Needs Assessment Specialization |
| Zdroj: | Endocrine Practice. 17:880-890 |
| ISSN: | 1530-891X |
| DOI: | 10.4158/ep10398.or |
| Popis: | To determine knowledge, competence, and attitudinal issues among primary care providers (PCPs) and diabetes specialists regarding the use and application of evidence-based clinical guidelines and the coordination of care between PCPs and diabetes specialists specifically related to referral practices for patients with diabetes.A survey tool was completed by 491 PCPs and 249 diabetes specialists. Data were collected from specialists online and from PCP attendees at live symposia across the United States. Results were analyzed for frequency of response and evaluation of significant relationships among the variables.Suboptimal practice patterns and interprofessional communication as well as gaps in diabetes-related knowledge and processes were identified. PCPs reported a lack of clarity about who, PCP or specialist, should assume clinical responsibility for the management of diabetes after a specialty referral. PCPs were most likely to refer patients to diabetes specialists for management issues relating to insulin therapy and use of advanced treatment strategies, such as insulin pens and continuous glucose monitoring. A minority of PCPs and even fewer specialists reported the routine use of clinical guidelines in practice.This research-based assessment identified critical educational needs and gaps related to coordinated care for patients with diabetes as well as the need for quality- and performance-based educational interventions. |
| Databáze: | OpenAIRE |
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