Primary care patient and provider preferences for diabetes care managers

Ramona S. DeJesus, Kristin S. Vickers, Robert J. Stroebel, Stephen S. Cha

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)181-186
Number of pages6
JournalPatient Preference and Adherence
Volume4
StatePublished - Jul 20 2010

Keywords

  • Care manager
  • Collaborative care
  • Diabetes care
  • Patient preference

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Social Sciences (miscellaneous)
  • Pharmacology, Toxicology and Pharmaceutics (miscellaneous)
  • Health Policy

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    DeJesus, R. S., Vickers, K. S., Stroebel, R. J., & Cha, S. S. (2010). Primary care patient and provider preferences for diabetes care managers. Patient Preference and Adherence, 4, 181-186.