Balancing Primary Diabetes Care Quality and Services
Authors: Kevin A. Peterson
Journal: Annals of Internal Medicine (2016)

Editorials21 February 2017Balancing Primary Diabetes Care Quality and ServicesKevin A. Peterson, MD, MPHKevin A. Peterson, MD, MPHFrom University of Minnesota, Minneapolis, Minnesota.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M16-2768 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Cheung and colleagues' study uses a remarkable collection of data from Ontario, Canada, to evaluate the association between patient volume and process measures among primary care physicians (PCPs) (1). The authors analyzed a retrospective cohort of 1 203 721 patients with diabetes from several linked administrative data sets; the final cohort captures patient-based quality measures and diabetes-related emergency department (ED) visits for adults aged 20 to 104 years assigned to 9014 Canadian PCPs. The study provides valuable insight into how measures of quality are influenced by the number of patient visits per day and the total number of patients with diabetes seen ...References1. Cheung A, Stukel TA, Alter DA, Glazier RH, Ling V, Wang X, et al. Primary care physician volume and quality of diabetes care. A population-based cohort study. Ann Intern Med. 2017;166:240-7. doi:10.7326/M16-1056 LinkGoogle Scholar2. Garrison RW. Time and Money: The Macroeconomics of Capital Structure. New York: Routledge; 2001:253. Google Scholar3. Centers for Disease Control and Prevention. Age-Adjusted Percentage of Adults Aged 18 Years or Older with Diagnosed Diabetes Receiving a Dilated Eye Exam in the Last Year, United States, 1994–2010. Atlanta: Centers for Disease Control and Prevention; 2014. Accessed at www.cdc.gov/diabetes/statistics/preventive/fx_eye.htm on 2 December 2016. Google Scholar4. Altschuler J, Margolius D, Bodenheimer T, Grumbach K. Estimating a reasonable patient panel size for primary care physicians with team-based task delegation. Ann Fam Med. 2012;10:396-400. [PMID: 22966102] doi:10.1370/afm.1400 CrossrefMedlineGoogle Scholar5. Westfall JM, Mold J, Fagnan L. Practice-based research—”Blue Highways” on the NIH roadmap. JAMA. 2007;297:403-6. [PMID: 17244837] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Minnesota, Minneapolis, Minnesota.Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-2768.Corresponding Author: Kevin A. Peterson, MD, MPH, University of Minnesota, Mayo Memorial Building, Suite A674-2, 420 Delaware Street SE, MMC 381, Minneapolis, MN 55455; e-mail, [email protected]edu.This article was published at Annals.org on 13 December 2016. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPrimary Care Physician Volume and Quality of Diabetes Care Andrew Cheung , Thérèse A. Stukel , David A. Alter , Richard H. Glazier , Vicki Ling , Xuesong Wang , and Baiju R. Shah Metrics 21 February 2017Volume 166, Issue 4Page: 303-304KeywordsEmergency departmentForecastingHealth care qualityHemoglobinInformation storage and retrievalLow density lipoproteinPatientsPerformance measuresPrimary care physiciansStatins ePublished: 13 December 2016 Issue Published: 21 February 2017 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...