Volume : 10, Issue : 11, November – 2023
Title:
ROLES OF FAMILY PHYSICIANS IN LONG TERM MANAGEMENT OF DIABETIC
Authors :
Ahmad Hameed Allehaiby, Sarah Musaed Alluheibi, Hind Musaed Alluheibi,Eyad Emad Aljefri,Shorooq Hameed Allohaibi,
Amal Hameed Allohaibi,Sondos Abdelmalik Aboukhashaba
Abstract :
Although there are criteria based on research, the attainment of high-quality diabetes care is not always accomplished. Identifying the elements linked to the quality of management in primary care can provide valuable insights for enhancing services. This can help in customizing quality improvement initiatives to meet the specific needs and resources of different practices. The proficiency and implementation of primary care physicians in regards to diabetes screening, diagnosis, and treatment were below the desired standard. During the initial stages of treatment, physicians demonstrated adequate knowledge in areas such as determining the appropriate timing to initiate medication and selecting the initial treatment approach. However, their knowledge and performance fell short of expectations during the follow-up and more advanced stages of treatment. Their preference is to direct patients to higher tiers within the healthcare system. Recently, professionals who have just completed their medical training shown superior understanding and a more effective strategy to managing diabetes mellitus. Hence, it is vital to promptly carry out efficient recurring training to tackle this drawback and enhance the standard of service.
Cite This Article:
Please cite this article in Ahmad Hameed Allehaiby et al, Roles Of Family Physicians In Long Term Management Of Diabetic, Indo Am. J. P. Sci, 2023; 10 (11).
Number of Downloads : 10
References:
1. International Diabetes Federation Atlas 2009 Diabetes and impaired glucose tolerance: global burden: prevalence and projections, 2010 and 2030. International Diabetes Federation Web site. http://www.diabetesatlas.org/content/diabetes-and-impaired-glucose-tolerance
2. National Diabetes Information Clearinghouse (NDIC) National diabetes statistics, 2007. http://diabetes.niddk.nih.gov/dm/pubs/statistics/
3. Eeg-Olofsson K, Cederholm J, Nilsson PM, et al. Risk of cardiovascular disease and mortality in overweight and obese patients with type 2 diabetes: an observational study in 13,087 patients. Diabetologia. 2009;52(1):65-73
4. Preis SR, Pencina MJ, Hwang SJ, et al. Trends in cardiovascular disease risk factors in individuals with and without diabetes mellitus in the Framingham Heart Study. Circulation. 2009;120(3):212-220
5. Cheung BM, Ong KL, Cherny SS, et al. Diabetes prevalence and therapeutic target achievement in the United States, 1999 to 2006. Am J Med. 2009;122:443-453
6. Stone MA, Charpentier G, Doggen K, et al. Quality of care of people with type 2 diabetes in eight European countries: findings from the Guideline Adherence to Enhance Care (GUIDANCE) study. Diabetes Care. 2013;36(9):2628–38.
7. Khunti K, Ceriello A, Cos X, et al. Achievement of guideline targets for blood pressure, lipid, and glycaemic control in type 2 diabetes: A meta-analysis. Diabetes Res Clin Pract.137:137–48.
8. Felton AM, Hall MS. Diabetes – from St Vincent to Glasgow. Have we progressed in 20 years? British Journal of Diabetes and Vascular Disease. 2009;9(4):142–4.
9. Ali MK, Bullard KM, Gregg EW. Achievement of goals in U.S. Diabetes Care, 1999-2010. N Engl J Med. 2013;369(3):287–8.
10. Stark Casagrande S, Fradkin JE, Saydah SH, et al. The Prevalence of Meeting A1C, Blood Pressure, and LDL Goals Among People With Diabetes, 1988–2010. Diabetes Care. 2013;36(8):2271–9.
11. Mahase E. Progress in diabetes care has not improved outcomes in US, study finds. BMJ. 2019;366:l5166.
12. Bongaerts BWC, Mussig K, Wens J, et al. Effectiveness of chronic care models for the management of type 2 diabetes mellitus in Europe: a systematic review and meta-analysis. BMJ Open. 2017;7:e013076.
13. Gregg E.W., Li Y., Wang J., Rios Burrows N., Ali M.K., Rolka D., Williams D.E., Geiss L. Changes in Diabetes-Related Complications in the United States, 1990–2010. N. Engl. J. Med. 2014;370:1514–1523. doi: 10.1056/NEJMoa1310799.
14. Association A.D. 1. Improving Care and Promoting Health in Populations: Standards of Medical Care in Diabetes—2021. Diabetes Care. 2021;44((Suppl. 1)):S7–S14.
15. Spann S.J., Nutting P.A., Galliher J.M., Peterson K.A., Pavlik V.N., Dickinson L.M., Volk R.J. Management of Type 2 Diabetes in the Primary Care Setting: A Practice-Based Research Network Study. Ann. Fam. Med. 2006;4:23–31.
16. Saydah S.H., Fradkin J., Cowie C.C. Poor Control of Risk Factors for Vascular Disease among Adults with Previously Diagnosed Diabetes. JAMA J. Am. Med. Assoc. 2004;291:335–342.
17. Shani M., Taylor T.R., Vinker S., Lustman A., Erez R., Elhayany A., Lahad A. Characteristics of Diabetics with Poor Glycemic Control Who Achieve Good Control. J. Am. Board Fam. Med. 2008;21:490–496.
18. Braga M.F.B., Casanova A., Teoh H., Gerstein H.C., Fitchett D.H., Honos G., McFarlane P.A., Ur E., Yale J.-F., Langer A., et al. Poor achievement of guidelines-recommended targets in type 2 diabetes: Findings from a contemporary prospective cohort study. Int. J. Clin. Pract. 2012;66:457–464.
19. World Health Organization. Innovative care for chronic conditions : building blocks for action : global report. Geneva: World Health Organization; 2002. Noncommunicable Disease and Mental Health Cluster.
20. Institute for Patient- and Family-Centered Care. [Accessed Dec 31, 2014];What is meant by the word “family”? http://www.ipfcc.org/faq.html.
21. Weiler DM, Crist JD. Diabetes self-management in a Latino social environment. Diabetes Educ. 2009;35:285–92.
22. Chesla CA, Fisher L, Skaff MM, Mullan JT, Gilliss CL, Kanter R. Family predictors of disease management over one year in Latino and European American patients with type 2 diabetes. Fam Process. 2003;42:375–90.
23. Denham SA, Ware LJ, Raffle H, Leach K. Family Inclusion in Diabetes Education A Nationwide Survey of Diabetes Educators. The Diabetes Educator. 2011;37:528–35.
24. Kovacs Burns K, Nicolucci A, Holt RI, et al. Diabetes Attitudes, Wishes and Needs second study (DAWN2): Cross-national benchmarking indicators for family members living with people with diabetes. Diabetic medicine : a journal of the British Diabetic Association. 2013;30:778–88.
25. Fisher L, Chesla CA, Bartz RJ, et al. The family and type 2 diabetes: a framework for intervention. Diabetes Educ. 1998;24:599–607.
26. Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Health affairs (Project Hope) 2001;20:64–78.
27. Burg MM, Seeman TE. Families and health: The negative side of social ties. Annals of Behavioral Medicine. 1994;46:1097–1108.
28. Nicklett EJ, Heisler ME, Spencer MS, Rosland AM. Direct social support and long-term health among middle-aged and older adults with type 2 diabetes mellitus. J Gerontol B Psychol Sci Soc Sci. 2013;68:933–43.
29. Roter DL, Hall JA, Aoki Y. Physician gender effects in medical communication: a meta-analytic review. JAMA. 2002;288(6):756–64.
30. Ewing GB, Selassie AW, Lopez CH, et al. Self-report of delivery of clinical preventive services by U.S. physicians. Comparing specialty, gender, age, setting of practice, and area of practice. Am J Prev Med. 1999;17(1):62–72.
31. Henderson JT, Weisman CS. Physician gender effects on preventive screening and counseling: an analysis of male and female patients’ health care experiences. Med Care. 2001;39(12):1281–92.
32. Tsugawa Y, Newhouse JP, Zaslavsky AM, et al. Physician age and outcomes in elderly patients in hospital in the US: observational study. BMJ. 2017;357.
33. Christian AH, Mills T, Simpson SL, et al. Quality of cardiovascular disease preventive care and physician/practice characteristics. J Gen Intern Med. 2006;21(3):231–7.
34. Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: The relationship between clinical experience and quality of health care. Ann Intern Med. 2005;142(4):260–73.
35. Goodwin JS, Salameh H, Zhou J, et al. Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population. JAMA Intern Med. 2018;178(2):196–203.
36. Epstein AJ, Srinivas SK, Nicholson S, et al. Association between physicians’ experience after training and maternal obstetrical outcomes: cohort study. BMJ. 2013;346:f1596.
37. Unger J. Incretins: clinical perspectives, relevance, and applications for the primary care physician in the treatment of patients with type 2 diabetes. Mayo Clin Proc. 2010;85(12)(suppl):S38-S49
38. Stolar MW. Defining and achieving treatment success in patients with type 2 diabetes mellitus. Mayo Clin Proc. 2010;85(12)(suppl):S50-S59
39. Lin C.-C., Lai M.-S., Syu C.-Y., Chang S.-C., Tseng F.-Y. Accuracy of diabetes diagnosis in health insurance claims data in Taiwan. J. Formos. Med. Assoc. 2005;104:157–163.
40. Haller B., Schmidt G., Ulm K. Applying competing risks regression models: An overview. Lifetime Data Anal. 2012;19:33–58. doi: 10.1007/s10985-012-9230-8.
41. Association A.D. 4. Comprehensive medical evaluation and assessment of comorbidities: Standards of medical care in diabetes-2021. Diabetes Care. 2021;44((Suppl. 1)):S40–S52.
42. Chau Y.-L. Effects of Care-Seeking Behavior on Health Service Utilization: A Study Based on Patients with Diabetes in Taiwan. Asian University; Taichung City, Taiwan: 2005.