| Diabetes education in the Appalachian region: providers' views. | |
| | |
MedLine Citation:
|
PMID: 20560683 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: The aim of this study was to examine provider perceptions concerning the provision and accessibility of diabetes education, according to levels of economic distress and rurality throughout the US Appalachian region. METHODS: A questionnaire regarding diabetes education resources was developed and mailed to all Federally Qualified Health Centers (FQHC), health departments, and known certified diabetes educators (CDEs) in the Appalachian region. Diabetes education was examined according to historical economic distress, distressed/at risk (DAR) versus not DAR (NDAR). RESULTS: Diabetes education classes were offered equally across DAR and NDAR locations and most patients with diabetes had attended. The CDEs and physicians were less common in DAR compared with NDAR sites (adjusted odds ratios [aOR]=0.33 [0.13, 0.85] and 59.1 vs 166.9 per 100 000; p < 0.001). The DAR sites were more likely than NDAR sites to report transportation (aORs 2.19-4.94) as a problem for patients and insufficient staff (aOR=2.50 [1.20, 5.18]) as a problem for diabetes education programs. CONCLUSIONS: Although DAR areas functioned with fewer health professionals than NDAR areas, many of the barriers to providing education affected patients and health professionals in both DAR and NDAR areas. |
| | |
Authors:
|
Sharon A Denham; Karen Remsburg; Lawrence Wood |
Related Documents
:
|
14963473 - Rechallenge prior sildenafil nonresponders. 15250193 - Diabetes prevention. a gameplan for success. 2526873 - Effects of streptozotocin- and alloxan-induced diabetes mellitus on mouse follicular an... |
Publication Detail:
|
Type: Journal Article Date: 2010-06-17 |
Journal Detail:
|
Title: Rural and remote health Volume: 10 ISSN: 1445-6354 ISO Abbreviation: Rural Remote Health Publication Date: 2010 Apr-Jun |
Date Detail:
|
Created Date: 2010-06-21 Completed Date: 2010-10-08 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101174860 Medline TA: Rural Remote Health Country: Australia |
Other Details:
|
Languages: eng Pagination: 1321 Citation Subset: IM |
Affiliation:
|
E365 Grover Center, Ohio University School of Nursing, Athens, Ohio 45701, USA. denham@ohio.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Appalachian Region Attitude of Health Personnel* Cross-Sectional Studies Diabetes Mellitus / prevention & control* Female Health Services Accessibility / organization & administration Humans Male Middle Aged Outcome and Process Assessment (Health Care) Patient Education as Topic / organization & administration* Physician's Practice Patterns / organization & administration* Professional Competence Professional Practice Location / statistics & numerical data Professional-Patient Relations* Questionnaires Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: C-reactive protein as a clinically useful biomarker of metastasis of renal cell carcinoma.
Next Document: Care fragmentation and emergency department use among complex patients with diabetes.