title: Assessing diabetes practices in clinical settings: precursor to building community partnerships around disease management.
abstract: Many recommended best practices exist for clinical and community diabetes management and prevention. However, in many cases, these recommendations are not being fully utilized. It is useful to gain a sense of currently utilized and needed practices when beginning a partnership building effort to ameliorate such practice problems. The purpose of this study was to assess current practices in clinical settings within the Brazos Valley in preparation for beginning a community-based participatory research project on improving diabetes prevention and management in this region. Fifty-seven physicians with admission privileges to a regional health system were faxed a survey related to current diabetes patient loads, knowledge and implementation of diabetes-related best practices, and related topics. Both qualitative and quantitative examination of the data was conducted. Fifteen percent of responding providers indicated they implemented diabetes prevention best practices, with significant differences between primary-care physicians and specialists. Respondents indicated a need for educational and counseling resources, as well as an increased health-care workforce in the region. The utilization of a faxed-based survey proved an effective means for assessing baseline data as well as serving as a catalyst for further discussion around coalition development. Results indicated a strong need for both clinical and community-based services regarding diabetes prevention and management, and provided information and insight to begin focused community dialogue around diabetes prevention and management needs across the region. Other sites seeking to begin similar projects may benefit from a similar process.
authors.affiliation: Center for Community Health Development, Department of Social & Behavioral Health, Texas A&M Health Science Center School of Rural Public Health, College Station, TX 77843-1266, USA. jdprochaska@srph.tamhsc.edu
authors.forename: John D
authors.initials: JD
authors.lastname: Prochaska
authors.forename: Nelda
authors.initials: N
authors.lastname: Mier
authors.forename: Jane N
authors.initials: JN
authors.lastname: Bolin
authors.forename: Kerrie L
authors.initials: KL
authors.lastname: Hora
authors.forename: Heather R
authors.initials: HR
authors.lastname: Clark
authors.forename: Marcia G
authors.initials: MG
authors.lastname: Ory
mesh_terms: D001291:Attitude of Health Personnel; D003153:Community Health Services / Q000458:organization & administration; D055812:Community-Based Participatory Research; D003920:Diabetes Mellitus / Q000517:prevention & control / Q000628:therapy*; D019468:Disease Management; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006801:Humans; D020380:Needs Assessment; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011320:Primary Health Care; D036301:Qualitative Research; D012423:Rural Health; D013781:Texas