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Primary care patient and provider preferences for diabetes care managers

机译：初级保健患者和提供者对糖尿病护理经理的偏好

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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.
机译：目的：使用护理管理者的协作式护理模型已被证明可有效实现慢性疾病管理中的持续治疗效果。尽力而为地找出患者对慢性病护理的偏爱，因此，我们进行了旨在识别这些偏爱的研究。方法：将20项问卷调查表，询问患者和提供者的偏爱和看法，并邮寄给1000在明尼苏达州奥姆斯特德县随机选择的患者通过糖尿病登记处确定患有2型糖尿病，这是一种典型的普遍性慢性疾病。还向42位初级保健提供者进行了调查。结果：有254位（25.4％）患者响应者和28位（66％）提供者响应者。大多数患者（> 70％）和提供者（89％）表示愿意由护理经理来管理糖尿病的各个方面。尽管75％的提供者愿意将护理经理的角色扩展到其他慢性疾病，但只有39.5％的患者响应者愿意为其他慢性病找护理经理。结论：尽管存在研究局限性，例如缺乏有效的措施来评估与护理管理相关的看法，但我们的研究结果表明，患者和医疗服务提供者愿意与护理经理合作，并且两个小组对护理经理的角色期望相似。

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