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Diabetes Educ. 2009 Mar-Apr;35(2):246-8, 252-6, 258-63. doi: 10.1177/0145721708329546. Epub 2009 Feb 10.

Access to diabetes self-management education: results of national surveys of patients, educators, and physicians.

Author information

1
Loyola College, Department of Sociology, and Johns Hopkins University, Department of Medicine, Baltimore, Maryland (Dr Peyrot)
2
Johns Hopkins University, Departments of Medicine and Pediatrics, Baltimore, Maryland (Dr Rubin)
3
Department of Medical Education, University of Michigan, and the Diabetes Research and Training Center, Ann Arbor, Michigan (Ms Funnell)
4
The Department of Medicine and Diabetes Institute, University of Pittsburgh, Pittsburgh, Pennsylvania (Dr Siminerio)

Abstract

PURPOSE:

To examine factors related to access to diabetes self-management education (DSME), including services delivered and sought; patient, physician, and program barriers to access; educator outreach and expansion efforts; and perceptions of alternative DSME delivery strategies.

METHODS:

Internet surveys were completed by 1169 adults with diabetes (661 with prior DSME, 508 with no prior DSME) from a national community survey panel, 1871 educators who were AADE members, and 629 physicians (212 diabetes specialists, 417 primary care practitioners) from a national physician survey panel.

RESULTS:

Physicians want patients to receive more self-management support, but some report that patients are told to do things with which the physician does not agree. Provider (physician and educator)-delivered DSME is more highly regarded among those who have received it than among those who have not received it. Physicians generally have positive perceptions of provider-delivered DSME, and educators see physicians as key to encouraging DSME use in patients. Some physicians are concerned about losing patients sent to DSME, and 11% of patients report changing physicians as a result of DSME. Most DSME programs have grown recently as a result of recruiting efforts and adding new programs/services; most programs plan more such efforts. Patients prefer traditional DSME sources/settings and are moderately accepting of media sources.

CONCLUSIONS:

Additional efforts are required to guarantee that all people with diabetes receive the DSME they need. This will require increased referral by physicians, increased follow-through by patients, and increased availability of DSME in forms that make it appealing to patients and physicians.

PMID:
19208816
DOI:
10.1177/0145721708329546
[Indexed for MEDLINE]

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