Document Detail


Diabetes care: model for the future of primary care.
MedLine Citation:
PMID:  20833622     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To review relevant trends threatening primary care and the evidence supporting use of nonphysicians in primary and chronic care of patients with diabetes.
DATA SOURCES: Current medical and pharmacy literature as selected by authors.
SUMMARY: The care needed by patients with diabetes does not fit well into our current medical model for primary care, and an adequate supply of physicians is not likely to be available for primary care roles in coming years. Patients with diabetes who are placed on evidence-based regimens, are educated about their disease, are coached in ways that motivate them to lose weight and adopt other therapeutic lifestyle changes, and are adhering to and persisting with therapy will soon have improved clinical parameters. These quickly translate into fewer hospitalizations and emergency department visits. A growing body of literature supports the use of pharmacists and other nonphysicians in meeting the needs of patients with diabetes. Pharmacists should join nurse practitioners, specially trained nurses, and physician assistants as integral members of the health care team in providing care to patients with diabetes and, by logical extension, other chronic conditions.
CONCLUSION: Demand for primary care is likely to outstrip the available supply of generalist physicians in the coming years. In addition to nurse practitioners and physician assistants, pharmacists should be considered for key roles in future interdisciplinary teams that triage and provide direct care to patients, including those with diabetes and other chronic conditions.
Authors:
L Michael Posey; Maria G Tanzi
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Pharmacists Association : JAPhA     Volume:  50     ISSN:  1544-3450     ISO Abbreviation:  J Am Pharm Assoc (2003)     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101176252     Medline TA:  J Am Pharm Assoc (2003)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  623-6     Citation Subset:  IM    
Affiliation:
Periodicals Department, American Pharmacists Association, Washington, DC 20037, USA. mposey@aphanet.org
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