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Coordinated primary and specialty care for type 2 diabetes mellitus, guidelines, and systems: an educational needs assessment.
Endocr Pract 2011 Nov-Dec; 17(6):880-90EP

Abstract

OBJECTIVE

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.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

Authors+Show Affiliations

Joslin Diabetes Center, Boston, Massachusetts 02215, USA. Richard.Beaser@joslin.harvard.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21550953

Citation

Beaser, Richard S., et al. "Coordinated Primary and Specialty Care for Type 2 Diabetes Mellitus, Guidelines, and Systems: an Educational Needs Assessment." Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, vol. 17, no. 6, 2011, pp. 880-90.
Beaser RS, Okeke E, Neighbours J, et al. Coordinated primary and specialty care for type 2 diabetes mellitus, guidelines, and systems: an educational needs assessment. Endocr Pract. 2011;17(6):880-90.
Beaser, R. S., Okeke, E., Neighbours, J., Brown, J., Ronk, K., & Wolyniec, W. W. (2011). Coordinated primary and specialty care for type 2 diabetes mellitus, guidelines, and systems: an educational needs assessment. Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 17(6), pp. 880-90. doi:10.4158/EP10398.OR.
Beaser RS, et al. Coordinated Primary and Specialty Care for Type 2 Diabetes Mellitus, Guidelines, and Systems: an Educational Needs Assessment. Endocr Pract. 2011;17(6):880-90. PubMed PMID: 21550953.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Coordinated primary and specialty care for type 2 diabetes mellitus, guidelines, and systems: an educational needs assessment. AU - Beaser,Richard S, AU - Okeke,Eyiuche, AU - Neighbours,James, AU - Brown,Julie, AU - Ronk,Katie, AU - Wolyniec,Walter W, PY - 2011/5/10/entrez PY - 2011/5/10/pubmed PY - 2012/5/18/medline SP - 880 EP - 90 JF - Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists JO - Endocr Pract VL - 17 IS - 6 N2 - OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. SN - 1934-2403 UR - https://www.unboundmedicine.com/medline/citation/21550953/Coordinated_primary_and_specialty_care_for_type_2_diabetes_mellitus_guidelines_and_systems:_an_educational_needs_assessment_ L2 - http://journals.aace.com/doi/10.4158/EP10398.OR?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -