Journal article
Implementation of a Diabetes Management Program for Patients in a Rural Primary Care Office
Journal of primary care & community health, Vol.3(2), pp.88-98
04/2012
DOI: 10.1177/2150131911421347
PMID: 23803451
Abstract
Objective: A diabetes management program was implemented in a rural primary care office for those who did not choose to consult a multidisciplinary specialty care. The purposes of this study were to describe the current practices and health care provider management of patients with diabetes in a rural primary care office and determine differences between Hispanic and non-Hispanic persons concerning diabetes self-care behaviors, barriers to self-care, and their association with glycosylated hemoglobin level.
Methods: A retrospective medical record review of diabetes-related medical information was completed.
Results: Sixty-one (74%) of the 83 patients with diabetes completed the questionnaire and had the diabetes management program implemented (problem summary and clinical summary generated). Medical record review was completed for 83 (100%) subjects. Glycosylated hemoglobin was significantly higher for the younger group and women. Hispanic women and married persons had significantly higher glycosylated hemoglobin than did non-Hispanic and unmarried persons. Hispanic persons who were obese had significantly higher glycosylated hemoglobin. Self-care behaviors for managing diabetes were different by group. Non-Hispanic subjects reported taking their diabetes medications 99% of the time and Hispanic subjects 50% of the time.
Discussion: It was feasible to implement a diabetes management program in a rural primary care setting, and its implementation highlighted the ethnic differences for Hispanics and non-Hispanics in diabetes self-care behavior, barriers to self-care, and family support for diabetes management. The implementation of the diabetes management program, though, was time-consuming and costly and was facilitated outside of the usual realm of practice.
Details
- Title: Subtitle
- Implementation of a Diabetes Management Program for Patients in a Rural Primary Care Office
- Creators
- Jeanette M Daly - University of Iowa, Iowa CityYinghui Xu - University of Iowa, Iowa CityBarcey T Levy - University of Iowa, Iowa CityDavid A Bedell - University of Iowa, Iowa CityMichael D Marquardt - University of Iowa, Iowa CityKathleen M Vonderhaar - University of Iowa, Iowa CityPaul A James - University of Iowa, Iowa City
- Resource Type
- Journal article
- Publication Details
- Journal of primary care & community health, Vol.3(2), pp.88-98
- DOI
- 10.1177/2150131911421347
- PMID
- 23803451
- NLM abbreviation
- J Prim Care Community Health
- ISSN
- 2150-1319
- eISSN
- 2150-1327
- Language
- English
- Date published
- 04/2012
- Academic Unit
- Stead Family Department of Pediatrics; Epidemiology; Orthopedics and Rehabilitation; Family and Community Medicine
- Record Identifier
- 9984024513602771
Metrics
8 Record Views