Strengths and challenges in interactions with newly diagnosed diabetes patients

January 9, 2018, American Academy of Family Physicians

When patients are diagnosed with diabetes, primary care clinicians display high levels of technical knowledge and communication skill, but initial consultations are often driven by biomedical explanations out of context from patient experience.

A qualitative study of 32 patients newly diagnosed with type 2 diabetes found strengths in interactions including high levels of communication skills, coordination of services, and significant allocation of time with patients.

Challenges to optimal care remain, however.

Despite high levels of generic communication expertise by clinicians, many patients found the style and content of health promotion and lifestyle advice not applicable to their lives.

Similarly, although sufficient time was allocated, it was not well coordinated between health professionals.

Other concerns included overuse of a checklist approach and a need for more effective methods of sharing patient information.

The findings highlight the important role that communication plays in and the commitment of primary care teams to engage with patient care.

The authors recommend that clinicians employ a biopsychosocial framework for communications with newly diagnosed diabetes patients and coordinate allocation of time when patients see multiple clinicians.

Explore further: Improving care transitions for patients

More information: Anthony Dowell et al. A Longitudinal Study of Interactions Between Health Professionals and People With Newly Diagnosed Diabetes, The Annals of Family Medicine (2018). DOI: 10.1370/afm.2144

Related Stories

Improving care transitions for patients

October 20, 2017
Disruptions in care and poor communication can affect the one in four Medicare patients who move from a hospital to a skilled nursing facility (SNF) after a hospitalization for an acute illness. But there are several untapped ...

Digital communication improves young patient engagement, according to new study

July 4, 2017
Using texts, emails, Skype and other digital communication methods can improve the health care experience of younger patients.

Abridged standards of care for diabetes developed for PCPs

April 23, 2015
(HealthDay)—An abridged version of the 2015 Standards of Medical Care in Diabetes has been produced for primary care physicians. The condensed guidelines were published in the April issue of Clinical Diabetes.

Age-related hearing loss and communication breakdown in the clinical setting

August 24, 2017
It was not uncommon for older adults to report mishearing a physician or nurse in a primary care or hospital setting, according to a study published by JAMA Otolaryngology-Head & Neck Surgery.

Secure messaging linked to better diabetes management

August 22, 2017
(HealthDay)—For patients with diabetes, use of secure messaging for medical advice is associated with better diabetes management, according to a study published online Aug. 14 in Diabetes Care.

Primary care practices use 4 complementary methods to identify high-risk patients

September 12, 2017
Risk stratified care management—assigning a patient to a risk category on which care is based—is increasingly viewed as a way to improve care and reduce costs.

Recommended for you

Switching to certain antidiabetic drugs linked to increased risk of major complications

July 18, 2018
For people with type 2 diabetes, switching to sulfonylurea drugs to control blood sugar levels is associated with an increased risk of complications compared with staying on the drug metformin, finds a study in The BMJ today.

Researchers cure type 2 diabetes and obesity in mice using gene therapy

July 10, 2018
A research team from the UAB led by Professor Fatima Bosch has managed to cure obesity and type 2 diabetes in mice using gene therapy.

Human clinical trial reveals verapamil as an effective type 1 diabetes therapy

July 9, 2018
Researchers at the University of Alabama at Birmingham Comprehensive Diabetes Center have discovered a safe and effective novel therapy to reduce insulin requirements and hypoglycemic episodes in adult subjects with recent ...

New targets found to reduce blood vessel damage in diabetes

July 9, 2018
In diabetes, both the tightly woven endothelial cells that line our blood vessels and the powerhouses that drive those cells start to come apart as early steps in the destruction of our vasculature.

Insurance gaps linked to five-fold rise in hospital stays for adults with type 1 diabetes

July 9, 2018
For a million American adults, living with type 1 diabetes means a constant need for insulin medication, blood sugar testing supplies and specialized care, to keep them healthy and prevent a crisis that could end up in an ...

Abnormal branched-chain amino acid breakdown may raise diabetes risk

July 5, 2018
In the U.S., about five out of 100 expectant mothers develop gestational diabetes mellitus (GDM), a temporary form of diabetes in which hormonal changes disrupt insulin function. Although GDM is often symptomless and subsides ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.