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Primary Care Provides the Majority of Outpatient Care for Patients with Diabetes in the US: NAMCS 2009–2015

  • Scott J. PillaEmail author
  • Jodi B. Segal
  • Nisa M. Maruthur
Concise Research Reports

INTRODUCTION

Diabetes affects 30.2 million adults in the US and contributes to substantial health and economic burdens.1, 2 While there are many evidence-based interventions that are expected to improve diabetes outcomes,3 many patients with diabetes do not achieve their goals for prevention and treatment,4 particularly less educated individuals and racial/ethnic minorities.5 To improve diabetes disparities and outcomes, resources for implementing evidence-based interventions are needed in the settings where patients with diabetes receive healthcare.3 This study provides national estimates of the distribution of outpatient visits for US adults with diabetes across care settings to inform the delivery of resources for diabetes interventions.

METHODS

We analyzed the 2009 through 2015 National Ambulatory Medical Care Survey (NAMCS) which includes visits to non-federal office-based physicians engaged in direct patient care, and National Hospital Ambulatory Medical Care Survey (NHAMCS),...

Notes

Contributors

Only the listed authors contributed to the manuscript.

Funders

SJP was supported by the National Heart, Lung, and Blood Institute (5T32HL007180-40, PI: Hill-Briggs). JBS was supported by the National Institute on Aging (1K24AG049036).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.

References

  1. 1.
    Centers for Disease Control and Prevention. National Diabetes Statistics Report, 2017. Atlanta: Centers for Disease Control and Prevention, U.S. Dept of Health and Human Services; 2017.Google Scholar
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    American Diabetes Association. Economic Costs of Diabetes in the U.S. in 2017. Diabetes Care. 2018;41(5):917–28.CrossRefGoogle Scholar
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    American Diabetes Association. 1. Improving Care and Promoting Health in Populations: Standards of Medical Care in Diabetes-2018. Diabetes Care. 2018;41(Suppl 1):S7-S12.CrossRefGoogle Scholar
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    Ali MK, Bullard KM, Saaddine JB, Cowie CC, Imperatore G, Gregg EW. Achievement of goals in U.S. diabetes care, 1999-2010. N Engl J Med. 2013;368(17):1613–24.CrossRefGoogle Scholar
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    Chatterji P, Joo H, Lahiri K. Racial/ethnic- and education-related disparities in the control of risk factors for cardiovascular disease among individuals with diabetes. Diabetes Care. 2012;35(2):305–12.CrossRefGoogle Scholar
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    About the Ambulatory Health Care Surveys [Internet]. Hyattsville (MD): National Center for Health Statistics; [cited 2018 August 20]. Available from: https://www.cdc.gov/nchs/ahcd/about_ahcd.htm.

Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Scott J. Pilla
    • 1
    Email author
  • Jodi B. Segal
    • 1
    • 2
    • 3
    • 4
    • 5
  • Nisa M. Maruthur
    • 1
    • 2
    • 5
  1. 1.Department of Medicine, Division of General Internal Medicine The Johns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Department of EpidemiologyThe Johns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  3. 3.Department of Health Policy and ManagementThe Johns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  4. 4.Center for Drug Safety and EffectivenessThe Johns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  5. 5.Welch Center for Prevention, Epidemiology & Clinical ResearchBaltimoreUSA

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