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首页> 美国政府科技报告 >Collaborative Management of Diabetes in Blacks. Inclusive Dates: 7/1/2001-6/30/2007
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Collaborative Management of Diabetes in Blacks. Inclusive Dates: 7/1/2001-6/30/2007

机译：黑人糖尿病的协同管理。包容性日期：7/1 / 2001-6 / 30/2007

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The objective of the K08 grant was to understand patient, provider, and systems level barriers to the effective management of diabetes in African American patients seen in primary care settings and develop a collaborative model of care that has the potential to eliminate these barriers. The study had three specific aims. The first aim was to identify patient-based factors that influence the treatment of black Americans with type-2 diabetes. The working hypothesis for this aim was that distrust of white health providers and what many blacks view as a white dominated medical system, lack of diabetes self-management skills, and fatalism combine to negatively affect compliance with recommendations for treatment. The second aim was to identify impediments to the treatment of blacks with type-2 diabetes that are attributable to health care providers. The hypothesis for this aim was that beliefs and attitudes of health-care providers about diabetes in general and black patients in particular, result in sub-optimal provider-patient collaboration. The third aim was to identify the culture-specific barriers to improved diabetes self-management skills in blacks with type 2 diabetes. The working hypothesis here was that culturally important components that would otherwise impede care must be included to improve collaboration between black patients with type 2 diabetes and their health-care providers.

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