Opportunities for improved diabetes care among patients of safety net practices: a safety net providers' strategic alliance study.

ABSTRACT:

Objective

To identify barriers and opportunities for quality diabetes care in safety net practices.

Methods

In 3 federally qualified health centers and 1 free clinic, 19 primary care clinicians profiled patient and visit characteristics and quality of care measures for 181 consecutive visits by adult type 2 diabetic patients. Open-ended questions assessed patient and clinician perception of barriers to diabetes care and patient report of enabling factors. A multidisciplinary team identified themes from open-ended responses. Logistic regression analyses assessed the association of the identified barriers/enablers with 2 measures of quality care: glycosylated hemoglobin and prophylactic aspirin use.

Results

Ranked barriers noted by patients included adherence (40%), fin

SUBMITTER: Reichsman A 

PROVIDER: S-EPMC4457369 | biostudies-literature | 2009 Jan

REPOSITORIES: biostudies-literature