2023-09-28 14:46:10 +00:00
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abstract: 'Managing patients with type 2 diabetes takes time. Clinicians in primary
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care, where most diabetes visits take place, lack that time. Planned
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visits by diabetes care managers-nurses, pharmacists, social workers,
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and other team members-assist clinicians and are associated with
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improved glycemic control. Particularly effective is care management
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featuring nurses or pharmacists adjusting medications without prior
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physician approval. Care management programs need to pay close attention
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to inequities in diabetes care and outcomes. The widespread
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implementation of diabetes care management in primary care faces several
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barriers: lack of an adequate, diverse, trained care manager workforce;
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regulations limiting care managers'' scope of practice; and financial
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models not supportive of care management. Wide-ranging policies are
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needed to address these barriers. In particular, payment reform is
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needed to stimulate the spread of diabetes care management: adding
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fee-for-service codes that adequately pay care managers for their work,
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adopting shared savings models that channel savings back to primary
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care, and increasing the percentage of health care spending dedicated to
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primary care. In this article we explore key questions around type 2
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diabetes care management, review the published evidence, examine the
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barriers to its wider use, and describe policy solutions.'
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affiliation: 'Bodenheimer, TS (Corresponding Author), Univ Calif San Francisco, San
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Francisco, CA 94143 USA.
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Bodenheimer, Thomas S.; Willard-Grace, Rachel, Univ Calif San Francisco, San Francisco,
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CA 94143 USA.'
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author: Bodenheimer, Thomas S. and Willard-Grace, Rachel
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author-email: tombodie3@gmail.com
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author_list:
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- family: Bodenheimer
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given: Thomas S.
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- family: Willard-Grace
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given: Rachel
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da: '2023-09-28'
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doi: 10.1377/hlthaff.2022.00227
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files: []
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issn: 0278-2715
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journal: HEALTH AFFAIRS
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keywords-plus: 'QUALITY IMPROVEMENT STRATEGIES; LOW-INCOME PATIENTS; GLYCEMIC CONTROL;
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REGISTERED NURSES; HEALTH; HYPERLIPIDEMIA; HYPERTENSION; CONCORDANCE;
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PROGRAMS; BARRIERS'
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language: English
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month: JUL
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number: '7'
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number-of-cited-references: '53'
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pages: 947-954
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papis_id: 76e43cb11450c0e98cfb231c26784d41
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ref: Bodenheimer2022caremanagement
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times-cited: '0'
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title: 'Care Management For Patients With Type 2 Diabetes: The Roles Of Nurses, Pharmacists,
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And Social Workers'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000827308500004
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usage-count-last-180-days: '0'
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usage-count-since-2013: '3'
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volume: '41'
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web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
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year: '2022'
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