Concordance of provider recommendations with American Diabetes Association's Guidelines

Research output: Contribution to journalArticle

Abstract

Purpose: To determine if selected client characteristics were factors influencing the provision of provider advice for diet, exercise, smoking cessation, alcohol cessation, eye and foot care, and influenza and pneumonia vaccine for those told by a provider that they had diabetes. Data sources: Data from the 2001 National Health Interview Survey were used in a secondary analysis to answer the research question. This study used a subsample who self-reported having provider-diagnosed diabetes; the subsample comprised 2287 unweighted subjects that, when weighted, represent 6.38% of the civilian noninstitutionalized individuals with diabetes in the United States. Conclusions: This study suggests that many patients are not receiving all the eight processes of care studied, particularly those with new onset diabetes, elders, black people, and Hispanics. Implications for practice: This study suggests that the present paradigm is not early prevention but treatment of established disease. Changes in entrenched thinking about clinical care need to be addressed. Patients with diabetes need to have an awareness that there is a standard of optimal care, and they should be encouraged to seek those who provide this care. Further, system changes may be required to address changes that are not easily made at the provider level.

Original languageEnglish (US)
Pages (from-to)124-133
Number of pages10
JournalJournal of the American Academy of Nurse Practitioners
Volume18
Issue number3
DOIs
StatePublished - Mar 2006

Keywords

  • Diabetes
  • Disparities in health care
  • Elder care
  • National Health Interview Survey
  • Translational research

ASJC Scopus subject areas

  • Nursing(all)

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