Poor glycemic control as a reason for referral of diabetes patients to specialists in Israel
Aims/introduction: Family physicians face the dilemma of when to refer patients with diabetes to specialists. This study examined attitudes of family physicians to referring patients with poor glucose control to diabetes specialists. Materials and methods: At continuous medical education courses, fa...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Greater Baltimore Medical Center
2016-04-01
|
| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://www.jchimp.net/index.php/jchimp/article/view/31204/pdf_138 |
| _version_ | 1828078536362033152 |
|---|---|
| author | Yacov Fogelman Khaled Karkabi Margalit Goldfracht |
| author_facet | Yacov Fogelman Khaled Karkabi Margalit Goldfracht |
| author_sort | Yacov Fogelman |
| collection | DOAJ |
| description | Aims/introduction: Family physicians face the dilemma of when to refer patients with diabetes to specialists. This study examined attitudes of family physicians to referring patients with poor glucose control to diabetes specialists. Materials and methods: At continuous medical education courses, family physicians were asked to respond anonymously, as to whether they generally manage the diabetes of their patients, and specifically those with poor glycemic control (HbA1c>9.0%). Results: Of 470 respondents, 426 (90%) reported that they generally manage their patients’ diabetes; 202 (43%) reported that they manage the diabetes of patients with HbA1c>9.0%. Board certification in family medicine and affiliation to a health maintenance organization, but not sex, age, years of professional experience, or the proportion of patients with diabetes at their clinics, were associated with referral practices. Conclusions: Family medicine residency and organizational support appear to promote treatment by family physicians of patients with poorly controlled diabetes in the primary care setting. |
| first_indexed | 2024-04-11T02:48:29Z |
| format | Article |
| id | doaj.art-3b64ffd2bffa4566b83344ceb2835002 |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T02:48:29Z |
| publishDate | 2016-04-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-3b64ffd2bffa4566b83344ceb28350022023-01-02T17:00:20ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662016-04-01621510.3402/jchimp.v6.3120431204Poor glycemic control as a reason for referral of diabetes patients to specialists in IsraelYacov Fogelman0Khaled Karkabi1Margalit Goldfracht2 Department of Family Practice, Leumit Health Services, Tel Aviv-Yafo, Israel The Ruth & Bruce Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel The Ruth & Bruce Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, IsraelAims/introduction: Family physicians face the dilemma of when to refer patients with diabetes to specialists. This study examined attitudes of family physicians to referring patients with poor glucose control to diabetes specialists. Materials and methods: At continuous medical education courses, family physicians were asked to respond anonymously, as to whether they generally manage the diabetes of their patients, and specifically those with poor glycemic control (HbA1c>9.0%). Results: Of 470 respondents, 426 (90%) reported that they generally manage their patients’ diabetes; 202 (43%) reported that they manage the diabetes of patients with HbA1c>9.0%. Board certification in family medicine and affiliation to a health maintenance organization, but not sex, age, years of professional experience, or the proportion of patients with diabetes at their clinics, were associated with referral practices. Conclusions: Family medicine residency and organizational support appear to promote treatment by family physicians of patients with poorly controlled diabetes in the primary care setting.http://www.jchimp.net/index.php/jchimp/article/view/31204/pdf_138primary carediabetes managementdiabetes specialistsfamily medicineendocrinologists |
| spellingShingle | Yacov Fogelman Khaled Karkabi Margalit Goldfracht Poor glycemic control as a reason for referral of diabetes patients to specialists in Israel Journal of Community Hospital Internal Medicine Perspectives primary care diabetes management diabetes specialists family medicine endocrinologists |
| title | Poor glycemic control as a reason for referral of diabetes patients to specialists in Israel |
| title_full | Poor glycemic control as a reason for referral of diabetes patients to specialists in Israel |
| title_fullStr | Poor glycemic control as a reason for referral of diabetes patients to specialists in Israel |
| title_full_unstemmed | Poor glycemic control as a reason for referral of diabetes patients to specialists in Israel |
| title_short | Poor glycemic control as a reason for referral of diabetes patients to specialists in Israel |
| title_sort | poor glycemic control as a reason for referral of diabetes patients to specialists in israel |
| topic | primary care diabetes management diabetes specialists family medicine endocrinologists |
| url | http://www.jchimp.net/index.php/jchimp/article/view/31204/pdf_138 |
| work_keys_str_mv | AT yacovfogelman poorglycemiccontrolasareasonforreferralofdiabetespatientstospecialistsinisrael AT khaledkarkabi poorglycemiccontrolasareasonforreferralofdiabetespatientstospecialistsinisrael AT margalitgoldfracht poorglycemiccontrolasareasonforreferralofdiabetespatientstospecialistsinisrael |