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Doctors Cite Time, Low Reimbursement As Barriers To Providing Comprehensive Diabetes Care, Survey Results Show
Date:11/19/2009

f time and reimbursement levels are impacting the quality of care these people receive."

The web-based survey polled 200 primary care physicians and 100 endocrinologists. On average, each doctor treated 239 patients per month. Endocrinologists who participated in the survey treated significantly more patients diagnosed with diabetes than primary care physicians, while primary care physicians had more patients deemed at high risk for developing diabetes.

Doctors surveyed said they did not feel they had adequate time with each patient to provide all the necessary care and education. "Diabetes is a complex disease," Haza said. "By spending just 10 additional minutes with a patient, doctors believe they can have a significantly greater impact on the quality of health outcomes."

"Without appropriate reimbursement in place, it is difficult or nearly impossible for doctors to provide their patients with the level of support they both require and deserve, let alone sustain a medical practice today," said Dr. Anne Peters, former chairperson of the American Diabetes Association Council on Health Care Delivery and Public Health and director of the USC Clinical Diabetes Programs. "As a result, physicians spend less time with each patient and end up addressing only the most immediate aspects of diabetes care on a given visit rather than the broad spectrum of care they deserve," Dr. Peters said.

"Diabetes requires multidisciplinary care and a team-based approach for the best outcomes," Lana Vukovljak, Chief Executive Officer of the American Association of Diabetes Educators, said. "In addition to aggressively managing their blood glucose levels and monitoring their overall health, these patients benefit when provided substantial education on nutrition and the importance of weight loss, physical activity and smoking cessation," said Ms. Vukovljak.

Physicians surveyed said they did not have adequate resources -- including
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SOURCE National Changing Diabetes Program
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