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Assessing Diabetes Practices in Clinical Settings: Precursor to Building Community Partnerships Around Disease Management

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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.

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Acknowledgments

The authors thank the medical staff of the St. Joseph Health System and the membership and administration of the Brazos Valley Health Partnership for their contribution and assistance to this project. The Center for Community Health Development is a member of the Prevention Research Centers Program, supported by the Centers for Disease Control and Prevention cooperative agreement number 5U48 DP000045. The authors would also like to acknowledge the constructive comments of an anonymous reviewer that helped strengthen this manuscript.

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Authors and Affiliations

  1. Center for Community Health Development, Department of Social & Behavioral Health, Texas A&M Health Science Center School of Rural Public Health, 1266 TAMU, College Station, TX, 77843-1266, USA

    John D. Prochaska, Kerrie L. Hora, Heather R. Clark & Marcia G. Ory

  2. 2101 S McColl Rd, McAllen, TX, 78503, USA

    Nelda Mier

  3. Center for Community Health Development, Department of Health Policy and Management, Texas A&M Health Science Center School of Rural Public Health, 1266 TAMU, College Station, TX, 77843-1266, USA

    Jane N. Bolin

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  1. John D. Prochaska
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  2. Nelda Mier
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Correspondence to John D. Prochaska.

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Prochaska, J.D., Mier, N., Bolin, J.N. et al. Assessing Diabetes Practices in Clinical Settings: Precursor to Building Community Partnerships Around Disease Management. J Community Health 34, 493–499 (2009). https://doi.org/10.1007/s10900-009-9179-z

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