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Adoption of Diabetes Care Management Processes Low in Physician Organizations


Adoption of Diabetes Care Management Processes Low in Physician Organizations -- Posted by Gumbo on 10-24-04 12:37


Adoption of Diabetes Care Management Processes Low in Physician
Organizations


A new survey revealed that 48% of physician organizations do not use any or
use only 1 of 4 diabetes care management processes, despite evidence that
these processes may improve clinical outcomes.

Researchers used data from the National Survey of Physician Organizations
and the Management of Chronic Illness, a national telephone survey conducted
between 2000 and 2001 which assessed physicians utilization of 4 care
management processes--clinical practice guidelines plus physician reminder
systems, case management, performance feedback to individual physicians or
disease registries. A total of 987 physician organizations that treat
patients with diabetes were identified from the survey.

Twenty-six percent of physician organizations used none of the 4 care
management processes for patients. Twenty-two percent used only one process
and 20% used 2 processes. Thirty-two percent used 3 or 4 of the processes.

Physician performance feedback was the most commonly reported process used
by physicians who managed patients with diabetes, followed by diabetes case
managers and diabetes registry.

Policies to encourage external incentives to improve quality and to
facilitate the adoption of computerized clinical information technology may
promote greater use of diabetes care management processes, the researchers
wrote. (Li R, et al. Diabetes Care 2004;27:2312-6.)




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