Abstract:
OBJECTIVE:To summarize the frequency of physician adherence to consensus recommendations for prevention of diabetic complications. RESEARCH DESIGN AND METHODS:Survey data from a nationwide stratified probability sample of primary-care physicians were analyzed. Adherence to recommendations were reported by physician specialty, age-group, and type of diabetes treated. RESULTS:Adherence was high for eye exams, blood pressure measurements, neurological and circulatory exams, and laboratory procedures using blood. Adherence was low for examination of the teeth and gums, examination of the feet, and laboratory procedures involving the collection of urine. Internists generally had the highest adherence rates and pediatricians the lowest. Reported adherence decreased with physician age. Adherence was higher for the management of individuals with IDDM than for those with NIDDM. CONCLUSIONS:Recommendations for the care of diabetic individuals need to be more widely implemented. Recommendations targeted specifically to pediatricians may be necessary.
journal_name
Diabetes Carejournal_title
Diabetes careauthors
Kenny SJ,Smith PJ,Goldschmid MG,Newman JM,Herman WHdoi
10.2337/diacare.16.11.1507subject
Has Abstractpub_date
1993-11-01 00:00:00pages
1507-10issue
11eissn
0149-5992issn
1935-5548journal_volume
16pub_type
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