JAMA & ARCHIVES
Arch Fam Med
SEARCH
GO TO ADVANCED SEARCH
HOME  PAST ISSUES  TOPIC COLLECTIONS  CME  PHYSICIAN JOBS  CONTACT US  HELP
Institution: STANFORD Univ Med Center  | My Account | E-mail Alerts | Access Rights | Sign In
  Vol. 2 No. 7, July 1993 TABLE OF CONTENTS
  Archives
  •  Online Features
  Original Contribution
 This Article
 •References
 •Full text PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal

Problems Encountered by Primary Care Physicians in the Care of Patients With Diabetes

C. H. M. Jacques, MD, PhD; Robert L. Jones, DEd

Arch Fam Med. 1993;2(7):739-741.


Abstract

Objective
The purpose of this study was to identify problems encountered by primary care physicians in the care of patients with diabetes in order to develop appropriate education programs for physicians.

Methods
A random, stratified telephone survey of 832 physicians in Pennsylvania who listed their specialty as internal medicine, family practice, or general practice was conducted. The response rate was 73%.

Results
Following diet and weight control were by far the most common problems reported by physicians for patients with insulin-dependent and non—insulin-dependent diabetes mellitus. Although physicians reported that education regarding diet is discussed during office visits, fewer than 25% of the physicians routinely refer patients to a dietician or health educator. Maintaining glucose control and dealing with the complications of diabetes were the next most common problems for patients with insulin-dependent diabetes mellitus, while compliance issues were common problems for patients with non—insulin-dependent diabetes mellitus.

Conclusions
Efforts to improve the care of patients with diabetes need to recognize and address the problems identified by primary care physicians. Education programs for physicians should deal with attitudes as well as knowledge and should focus on problems such as diet, compliance, referrals to eye doctors, and methods to improve glucose control, such as the use of multiple injections.



Author Affiliations

From the Department of Family Medicine, Health Sciences Center/Charleston Division, West Virginia University (Dr Jacques); and the Department of Family and Community Medicine, Milton S. Hershey Medical Center, Pennsylvania State University (Dr Jones).



THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Think Beyond the Numbers, Don't Forget the Patient
Repas
JAOA: Journal of the American Osteopathic Association 2008;108:ii-S4.
FULL TEXT  

Perceptions of Dietary Supplements Among Older Women With Diabetes
Oldham et al.
The Diabetes Educator 2004;30:658-664.
 

Diabetes Translation Research: Where Are We and Where Do We Want To Be?
Venkat Narayan et al.
ANN INTERN MED 2004;140:958-963.
ABSTRACT | FULL TEXT  

Barriers to Providing Diabetes Care in Community Health Centers
Chin et al.
Diabetes Care 2001;24:268-274.
ABSTRACT | FULL TEXT  

Inequalities in provision of systematic care for patients with diabetes
Khunti et al.
Fam Pract 2001;18:27-32.
ABSTRACT | FULL TEXT  

Use of multiple methods to determine factors affecting quality of care of patients with diabetes
Khunti
Fam Pract 1999;16:489-494.
ABSTRACT | FULL TEXT  

Symptoms and Complications of Adult Diabetic Patients in a Family Practice
Konen et al.
Arch Fam Med 1996;5:135-145.
ABSTRACT  




HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1993 American Medical Association. All Rights Reserved.