Annals of family medicine
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Annals of family medicine · Jan 2006
Quality of preventive care for diabetes: effects of visit frequency and competing demands.
We sought to determine the association between timely receipt of diabetes-related preventive services and the longitudinal pattern of outpatient service use as characterized by a novel taxonomy that prioritized visits based on the Oregon State Prioritized Health Services List. ⋯ Patients who attend relatively few outpatient visits or who attend more frequent visits for predominantly lower-priority conditions are more likely to receive substandard preventive care for diabetes.
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Annals of family medicine · Jan 2006
Encounters by patients with type 2 diabetes--complex and demanding: an observational study.
We wanted to examine the relationships between quality of diabetes care delivered, the type and length of encounter, and time to the next follow-up encounter. ⋯ Competing demands during primary care encounters require patient and physician to prioritize services delivered and defer indicated services to subsequent visits. Current models of patient care in primary care settings are inadequate to address the multitude of tasks facing clinicians, especially among patients with complex chronic illnesses. Innovative approaches and new models are needed to improve the quality of diabetes care.
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Annals of family medicine · Jan 2006
Comparative StudyEffect of improved primary care access on quality of depression care.
We wanted to determine whether a major improvement in access to primary care during 2000 was associated with changes in the quality of care for patients with depression. ⋯ Marked improvement in access to primary care for 1 year was associated with some improvement in primary care for patients with depression, but the mechanism appeared to be improved continuity. Those planning to implement advanced access to care need to do so in such a way that continuity of care is enhanced rather than harmed by the change.