skip to content
Dovepress - Open Access to Scientific and Medical Research
View our mobile site

8852

Primary care patient and provider preferences for diabetes care managers

Original Research

(1904) Views  (447) Full article downloads

Authors: Ramona S DeJesus, Kristin S Vickers, Robert J Stroebel, et al

Published Date June 2010 Volume 2010:4 Pages 181 - 186
DOI: http://dx.doi.org/10.2147/PPA.S8342

Ramona S DeJesus1, Kristin S Vickers2, Robert J Stroebel1, Stephen S Cha3

1Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, USA; 2Department of Psychiatry and Psychology, Mayo Clinic, MN, USA; 3Department of Biostatistics, Mayo Clinic, Rochester, MN, USA

Purpose: The collaborative care model, using care managers, has been shown to be effective in achieving sustained treatment outcomes in chronic disease management. Little effort has been made to find out patient preferences for chronic disease care, hence, we conducted a study aimed at identifying these.

Methods: A 20-item questionnaire, asking for patients’ and providers’ preferences and perceptions, was mailed out to 1000 randomly selected patients in Olmsted County, Minnesota, identified through a diabetes registry to have type 2 diabetes mellitus, a prototypical prevalent chronic disease. Surveys were also sent to 42 primary care providers.

Results: There were 254 (25.4%) patient responders and 28 (66%) provider responders. The majority of patients (>70%) and providers (89%) expressed willingness to have various aspects of diabetes care managed by a care manager. Although 75% of providers would be comfortable expanding the care manager role to other chronic diseases, only 39.5% of patient responders would be willing to see a care manager for other chronic problems. Longer length of time from initial diagnosis of diabetes was associated with decreased patient likelihood to work with a care manager.

Conclusion: Despite study limitations, such as the lack of validated measures to assess perceptions related to care management, our results suggest that patients and providers are willing to collaborate with a care manager and that both groups have similar role expectations of a care manager.

Keywords: care manager, collaborative care, patient preference, diabetes care






 

Other articles by Dr Ramona Dejesus



Readers of this article also read:

Availability of a remote online hemodynamic monitoring system during treatment in a private dental office for medically high-risk patients
Prevalence and risk factors of microalbuminuria in Thai nondiabetic hypertensive patients
Multinational Internet-based survey of patient preference for newer oral or injectable Type 2 diabetes medication
Clinical potential of lurasidone in the management of schizophrenia
Public’s attitudes towards community pharmacy in Qatar: a pilot study
Primary care for diabetes mellitus: perspective from older patients
Incidence of adverse events with telmisartan compared with ACE inhibitors: evidence from a pooled analysis of clinical trials
Impact of pharmacist interventions on patients' adherence to antidepressants and patient-reported outcomes: a systematic review
Investigating patient expectations and treatment outcome in a chronic low back pain population
The impact of HIV clinical pharmacists on HIV treatment outcomes: a systematic review