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Research ArticleSpecial Reports

Diabetes Management: A Case Study to Drive National Policy Change in Primary Care Settings

Raveendhara R. Bannuru, Francisco Prieto, Lisa Murdock and Elise Tollefson
The Annals of Family Medicine November 2024, 22 (6) 550-556; DOI: https://doi.org/10.1370/afm.3175
Raveendhara R. Bannuru
1American Diabetes Association, Arlington, Virginia
MD, PhD, FAGE
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Francisco Prieto
2Sutter Health Systems, Elk Grove, California
MD
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Lisa Murdock
1American Diabetes Association, Arlington, Virginia
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  • For correspondence: LMurdock@diabetes.org
Elise Tollefson
1American Diabetes Association, Arlington, Virginia
MA
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    Figure 1.

    Primary care professionals’ perceived lack of improved outcomes for PWD.

    PWD = people with diabetes.

    Source: John Zogby Strategies. Diabetes Care Survey. April 2023. Online survey sampling 525 primary care practitioners nationwide from April 21, 2023 to April 23, 2023. Reprinted with permission.

    Margin of error: +/− 4 percentage points.

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    Figure 2.

    Perceived lack of outcome improvements for PWD among practice professional type.

    Family Med = family medicine; GP = general practitioner; PA = physician assistant; PWD = people with diabetes.

    Source: John Zogby Strategies. Diabetes Care Survey. April 2023. Online survey sampling 525 primary care practitioners nationwide from April 21, 2023 to April 23, 2023. Reprinted with permission.

    Margin of error: +/− 4 percentage points.

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  • PLAIN-LANGUAGE ARTICLE SUMMARY

    Special Report

    Reforming Primary Care to Combat the Diabetes Epidemic 

    Background and Goal: Diabetes is a growing public health issue in the U.S., affecting 38.4 million people and placing a significant burden on primary care services. As the number of diabetes cases continues to rise, primary care professionals play a key role in managing this complex, chronic condition. This report explores strategies to improve diabetes care.

    Key Insights: The report highlights several important areas for improvement. First, there is a shortage of primary care professionals. Expanding the roles of nurse practitioners, pharmacists, and other health care professionals can help address this gap. Team-based care models, such as the Chronic Care Model and Patient-Centered Medical Home, have been effective in improving diabetes care by promoting better coordination among health care professionals. However, current payment structures do not sufficiently reimburse non-physician health care professionals, limiting the success of these models. Reforming payment systems to support all care team members and emphasizing preventive care is necessary. Lastly, diabetes disproportionately affects underserved populations, particularly racial and ethnic minorities. Improving access to primary care in these communities is essential for addressing health disparities.

    Why It Matters: Diabetes affects millions of Americans, and as the number of cases grows, it is important that primary care physicians are equipped to manage this complex condition effectively. This report highlights the need for national policy changes to support primary care teams, including workforce expansion, team-based care approaches, and payment reform.

    Diabetes Management: A Case Study to Drive National Policy Change in Primary Care Settings

    Lisa Murdock, et al

    American Diabetes Association, Arlington, Virginia

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The Annals of Family Medicine: 22 (6)
The Annals of Family Medicine: 22 (6)
Vol. 22, Issue 6
November/December 2024
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Diabetes Management: A Case Study to Drive National Policy Change in Primary Care Settings
Raveendhara R. Bannuru, Francisco Prieto, Lisa Murdock, Elise Tollefson
The Annals of Family Medicine Nov 2024, 22 (6) 550-556; DOI: 10.1370/afm.3175

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Diabetes Management: A Case Study to Drive National Policy Change in Primary Care Settings
Raveendhara R. Bannuru, Francisco Prieto, Lisa Murdock, Elise Tollefson
The Annals of Family Medicine Nov 2024, 22 (6) 550-556; DOI: 10.1370/afm.3175
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