Systemic barriers to diabetes management in Primary care: A qualitative analysis of delaware physicians

American Journal of Medical Quality

Volumn 26, Issue 4, 2011, Pages 284-290

  Elliott, Daniel J ^a   Robinson, Edmondo J ^a   Sanford, Mark ^a   Herrman, Judith W ^b   Riesenberg, Lee Ann ^a,c  

^a CHRISTIANA HOSPITAL   (United States)

^b UNIVERSITY OF DELAWARE   (United States)

^c THOMAS JEFFERSON UNIVERSITY   (United States)

Author keywords

Barriers; Chronic disease care; Diabetes mellitus; Health care system; Primary care

Indexed keywords

ARTICLE; CLINICAL PRACTICE; DIABETES MELLITUS; FEMALE; HUMAN; INFORMATION PROCESSING; INTERVIEW; MALE; PRIMARY HEALTH CARE; THEORETICAL MODEL; UNITED STATES;

DELAWARE; DIABETES MELLITUS; FEMALE; FOCUS GROUPS; HUMANS; INTERVIEWS AS TOPIC; MALE; MODELS, THEORETICAL; PHYSICIAN'S PRACTICE PATTERNS; PRIMARY HEALTH CARE;

EID: 79960283581     PISSN: 10628606     EISSN: 1555824X     Source Type: Journal    
DOI: 10.1177/1062860610383332     Document Type: Article

References (31)

1. American Diabetes Association. Economic costs of diabetes in the U.S. in 2007. Diabetes Care. 2008;31:596-615.
2. Gaede P., Lund-Andersen H., Parving HH, Pedersen O. Effect of a multifactorial intervention on mortality in type 2 diabetes. N Engl J Med. 2008;358:580-591.
3. Gaede P., Vedel P., Larsen N., Jensen GV, Parving HH, Pedersen O. Multifactorial intervention and cardiovascular disease in patients with type 2 diabetes. N Engl J Med. 2003;348:383-393.
4. Zoungas S., de Galan BE, Ninomiya T.,et al.Combined effects of routine blood pressure lowering and intensive glucose control on macrovascular and microvascular outcomes in patients with type 2 diabetes: new results from the ADVANCE trial. Diabetes Care. 2009;32:2068-2074.
5. Saydah SH, Fradkin J., Cowie CC Poor control of risk factors for vascular disease among adults with previously diagnosed diabetes. JAMA. 2004;291:335-342.
6. Grant RW, Buse JB, Meigs JB; University HealthSystem Consortium Diabetes Benchmarking Project Team. Quality of diabetes care in U.S. academic medical centers: low rates of medical regimen change. Diabetes Care. 2005;28:337-442.
7. Wagner EH, Austin BT, Davis C., Hindmarsh M., Schaefer J., Bonomi A. Improving chronic illness care: translating evidence into action. Health Aff (Millwood). 2001;20:64-78.
8. Schappert SM, Rechtsteiner EA Ambulatory Medical Care Utilization Estimates for 2006. Hyattsville, MD: National Center for Health Statistics; 2008. National Health Statistics Reports, Number 8, August 6, 2008.
9. Bodenheimer T., Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA. 2002;288:1909-1914.
10. Carrier E., Gourevitch MN, Shah NR Medical homes: challenges in translating theory into practice. Med Care. 2009;47:714-722.
11. Brown JB, Harris SB, Webster-Bogaert S., Wetmore S., Faulds C., Stewart M. The role of patient, physician and systemic factors in the management of type 2 diabetes mellitus. Fam Pract. 2002;19:344-349.
12. Larme AC, Pugh JA Evidence-based guidelines meet the real world: the case of diabetes care. Diabetes Care. 2001;24:1728-1733.
13. Glaser BG, Strauss A. The Discovery of Grounded Theory: Strategies for Qualitative Research. Chicago, IL: Aldine; 1967.
14. Kern DH, Mainous AG III. Disease management for diabetes among family physicians and general internists: opportunism or planned care? Fam Med.2001,33:621-625.
15. Bodenheimer T., Grumbach K. Electronic technology: a spark to revitalize primary care? JAMA. 2003;290: 259-264.
16. Nutting PA, Miller WL, Crabtree BF, Jaen CR, Stewart EE, Stange KC Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home. Ann Fam Med. 2009;7:254-260.
17. Chodosh J., Morton SC, Mojica W.,et al.Meta-analysis: chronic disease self-management programs for older adults. Ann Intern Med. 2005;143:427-438.
18. Castaldo J., Nester J., Wasser T.,et al.Physician attitudes regarding cardiovascular risk reduction: the gaps between clinical importance, knowledge, and effectiveness. Dis Manag. 2005;8:93-105.
19. Wens J., Vermeire E., Royen PV, Sabbe B., Denekens J. GPs' perspectives of type 2 diabetes patients adherence to treatment: a qualitative analysis of barriers and solutions. BMC Fam Pract. 2005;6:20.
20. Cook S., Drum ML, Kirchhoff AC,et al.Providers' assessment of barriers to effective management of hypertension and hyperlipidemia in community health centers. J Health Care Poor Underserved. 2006;17:70-85.
21. Peyrot M., Rubin RR Access to diabetes self-management education. Diabetes Educ. 2008;34:90-97.
22. Peikes D., Chen A., Schore J., Brown R. Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials. JAMA. 2009;301:603-618.
23. Deo S., McInnes K., Corbett CJ,et al.Associations between organizational characteristics and quality improvement activities of clinics participating in a quality improvement collaborative. Med Care. 2009;47:1026-1030.
24. Rittenhouse DR, Casalino LP, Gillies RR, Shortell SM, Lau B. Measuring the medical home infrastructure in large medical groups. Health Aff (Millwood). 2008;27:1246-1258.
25. Dorr D., Bonner LM, Cohen AN,et al.Informatics systems to promote improved care for chronic illness: a literature review. J Am Med Inform Assoc. 2007;14:156-163.
26. Meyers DS, Clancy CM Primary care: too important to fail. Ann Intern Med. 2009;150:272-273.
27. Grumbach K., Mold JW A health care cooperative extension service: transforming primary care and community health. JAMA. 2009;301:2589-2591.
28. Fisher ES Building a medical neighborhood for the medical home. N Engl J Med. 2008;359:1202-1205.
29. Shortell SM, Gillies R., Siddique J.,et al.Improving chronic illness care: a longitudinal cohort analysis of large physician organizations. Med Care. 2009;47:932-939.
30. Schmittdiel J., Bodenheimer T., Solomon NA, Gillies RR, Shortell SM Brief report: the prevalence and use of chronic disease registries in physician organizations. A national survey. J Gen Intern Med. 2005;20:855-858.
31. Bodenheimer T., Wang MC, Rundall TG,et al.What are the facilitators and barriers in physician organizations' use of care management processes? Jt Comm J Qual Saf. 2004;30:505-514.