abstract: 'Managing patients with type 2 diabetes takes time. Clinicians in primary

  care, where most diabetes visits take place, lack that time. Planned

  visits by diabetes care managers-nurses, pharmacists, social workers,

  and other team members-assist clinicians and are associated with

  improved glycemic control. Particularly effective is care management

  featuring nurses or pharmacists adjusting medications without prior

  physician approval. Care management programs need to pay close attention

  to inequities in diabetes care and outcomes. The widespread

  implementation of diabetes care management in primary care faces several

  barriers: lack of an adequate, diverse, trained care manager workforce;

  regulations limiting care managers'' scope of practice; and financial

  models not supportive of care management. Wide-ranging policies are

  needed to address these barriers. In particular, payment reform is

  needed to stimulate the spread of diabetes care management: adding

  fee-for-service codes that adequately pay care managers for their work,

  adopting shared savings models that channel savings back to primary

  care, and increasing the percentage of health care spending dedicated to

  primary care. In this article we explore key questions around type 2

  diabetes care management, review the published evidence, examine the

  barriers to its wider use, and describe policy solutions.'
affiliation: 'Bodenheimer, TS (Corresponding Author), Univ Calif San Francisco, San
  Francisco, CA 94143 USA.

  Bodenheimer, Thomas S.; Willard-Grace, Rachel, Univ Calif San Francisco, San Francisco,
  CA 94143 USA.'
author: Bodenheimer, Thomas S. and Willard-Grace, Rachel
author-email: tombodie3@gmail.com
author_list:
- family: Bodenheimer
  given: Thomas S.
- family: Willard-Grace
  given: Rachel
da: '2023-09-28'
doi: 10.1377/hlthaff.2022.00227
files: []
issn: 0278-2715
journal: HEALTH AFFAIRS
keywords-plus: 'QUALITY IMPROVEMENT STRATEGIES; LOW-INCOME PATIENTS; GLYCEMIC CONTROL;

  REGISTERED NURSES; HEALTH; HYPERLIPIDEMIA; HYPERTENSION; CONCORDANCE;

  PROGRAMS; BARRIERS'
language: English
month: JUL
number: '7'
number-of-cited-references: '53'
pages: 947-954
papis_id: 76e43cb11450c0e98cfb231c26784d41
ref: Bodenheimer2022caremanagement
times-cited: '0'
title: 'Care Management For Patients With Type 2 Diabetes: The Roles Of Nurses, Pharmacists,
  And Social Workers'
type: article
unique-id: WOS:000827308500004
usage-count-last-180-days: '0'
usage-count-since-2013: '3'
volume: '41'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2022'