Structuring diabetes care in general practices: Many improvements, remaining challenges

Jennings, Sally; Whitford, David L; Carey, Deirdre; Smith, Susan M

doi:10.1007/bf03167966

Cited by 6 publications

(7 citation statements)

References 13 publications

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“…[3][4][5]8,9,16,25] The contributing factors leading to this type of patient perception requires further investigation to inform the design of more feasible SDM diabetes management interventions for many settings.…”

Section: Discussionmentioning

confidence: 98%

“…[16,[18][19][20][21][22][23] Until primary-care clinicians and researchers develop an improved understanding of how adults actually perceive the relationship between their daily diabetes self-management experiences and office visit encounters, the effectiveness of SDM-type interventions designed to improve subsequent patient outcomes may be limited. [3,5,16,24] The purpose of this article is to describe the results of a series of exploratory semi-structured group interview sessions with American adults with type 2 diabetes to examine their pre-intervention perceptions of diabetes self-management practices and office-based diabetes care experiences.…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4] Although office-based diabetes care processes vary considerably, the practice constraints placed on many office clinicians who attempt to meet the complex needs of many adults with diabetes have worsened. [5][6][7] Successful diabetes self-management requires that most adults maintain a daily regimen of behaviors between office visits to improve their related quality of life and health outcomes. [8][9][10][11][12] Expert patient-type interventions have been introduced in many nations to capitalize on patients' developed self-management knowledge and practices for the improved delivery of office-based diabetes management care.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Contemporary Adult Diabetes Mellitus Management Perceptions

Corser

Lein

Holmes‐Rovner

et al. 2010

The Patient: Patient-Centered Outcomes Research

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Background: Over 180 million people have been diagnosed with diabetes mellitus worldwide, with this number expected to more than double by 2030. Due to the increasing mortality and morbidity associated with this epidemic, the improved primary-care management of diabetes during routine office visits remains an emerging international challenge. Objective: To report the results of a series of exploratory semi-structured group interview sessions with a sample of 44 American adults with type 2 diabetes, concerning their diabetes management perceptions and office-based diabetes care processes. Methods: A total of 44 adults from a Midwest Internal Medicine Clinic were interviewed during 2004 and 2005 before starting a larger, quantitative, shared decision-making intervention study. During group interviews, participants offered their perceptions of their self-management practices, interactions with office clinicians, and diabetes-related health outcomes to date. A total of 178 audio-taped interview comments (across 44 participants) were transcribed and analyzed for core themes and sub-themes. Results: Many participants reported frustrating experiences regarding the relationship between their personal diabetes self-management practices and typical office visit interactions with clinicians. Most participants perceived these diabetes management processes as inherently different from each other. Many participants were intrigued with the proposed shared decision-making management approach of the larger intervention study. Conclusions: Primary-care clinicians should assess how patients may perceive their self-management strategies relate to office-based diabetes care processes. Patients' self-management beliefs and practices should be routinely evaluated since they frequently affect the nature of key diabetes care office visit decisions. These qualitative results suggest that clinicians should convey the increasing interdependence between their patients' daily diabetes self-management practices and contemporary office visit decision-making discussions.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Contemporary Adult Diabetes Mellitus Management Perceptions

Corser

Lein

Holmes‐Rovner

et al. 2010

The Patient: Patient-Centered Outcomes Research

View full text Add to dashboard Cite

show abstract

“…23 A 'before and after' study examined the impact of the change to structured care using an audit of process and intermediate (biological) outcomes for patients with type 2 diabetes. 24 Practice patient registers were compiled for the study and used for the baseline audit. The study demonstrated improvements in intermediate outcomes.…”

Section: Research Examining Diabetes Management and Registrationmentioning

confidence: 99%

Informing the development of a national diabetes register in Ireland: a literature review of the impact of patient registration on diabetes care

O'Mullane¹,

McHugh²,

Bradley³

2010

Journal of Innovation in Health Informatics

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“…1 Because of the increasing mortality and morbidity associated with diabetes, improving the primary care management of patients' diabetes-related needs is an emerging international challenge. 3,4 Currently, diabetes care guidelines recommend 3 to 4 office visits each year, totaling less than 2 hours of formal diabetes care. 3,4 Currently, diabetes care guidelines recommend 3 to 4 office visits each year, totaling less than 2 hours of formal diabetes care.…”

mentioning

confidence: 99%

Facilitating Patients' Diabetes Self-Management

Corser

2009

Journal of Nursing Care Quality

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A quality primary care framework for diabetes self-management (DSM) is presented on the basis of prevalent office setting changes. Recent DSM research and literature are reviewed concerning (a) patients' DSM perceptions and office visit experiences and (b) more effective office-based DSM programs. This quality primary care framework enables nurse clinicians to more consistently assess and integrate individual patient factors using typically limited clinic resources into office visits to optimize DSM patient outcomes.

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Structuring diabetes care in general practices: Many improvements, remaining challenges

Abstract: Structured care in general practice improves intermediate outcomes for people with type 2 diabetes. Further improvements need to be made to reach international targets.

Cited by 6 publications

References 13 publications

Contemporary Adult Diabetes Mellitus Management Perceptions

Contemporary Adult Diabetes Mellitus Management Perceptions

Informing the development of a national diabetes register in Ireland: a literature review of the impact of patient registration on diabetes care

Facilitating Patients' Diabetes Self-Management

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