Harry Melissa L, Saman Daniel M, Allen Clayton I, Ohnsorg Kris A, Sperl-Hillen JoAnn M, O'Connor Patrick J, Ziegenfuss Jeanette Y, Dehmer Steven P, Bianco Joseph A, Desai Jay R
Essentia Health, Essentia Institute of Rural Health, Duluth, MN.
HealthPartners Institute, Bloomington, MN.
Clin Diabetes. 2018 Oct;36(4):283-294. doi: 10.2337/cd17-0116.
We sought to fill critical gaps in understanding primary care providers' (PCPs') beliefs regarding diabetes prevention and cardiovascular disease risk in the prediabetes population, including through comparison of attitudes between rural and non-rural PCPs. We used data from a 2016 cross-sectional survey sent to 299 PCPs practicing in 36 primary clinics that are part of a randomized control trial in a predominately rural northern Midwestern integrated health care system. Results showed a few significant, but clinically marginal, differences between rural and non-rural PCPs. Generally, PCPs agreed with the importance of screening for prediabetes and thoroughly and clearly discussing CV risk with high-risk patients.
我们试图填补在理解初级保健提供者（PCP）对糖尿病前期人群的糖尿病预防和心血管疾病风险的看法方面的关键空白，包括通过比较农村和非农村PCP的态度。我们使用了2016年横断面调查的数据，该调查发送给了在36家初级诊所执业的299名PCP，这些诊所是一个主要位于中西部农村的综合医疗保健系统中一项随机对照试验的一部分。结果显示，农村和非农村PCP之间存在一些显著但临床上微不足道的差异。总体而言，PCP们认同对糖尿病前期进行筛查以及与高危患者全面且清晰地讨论心血管疾病风险的重要性。
