Observational studyPrimary health care research & development2016
No moment wasted: the primary-care visit for adults with diabetes and low socio-economic status.
Observational study in Primary health care research & development, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed.
- Prescription Real-Time Benefit Tools: Clinicians Receive Frequent Alerts Yet Rarely Accept The Suggested Changes.Health affairs (Project Hope) · 2026Article
- The National Clinical Care Commission Report to Congress: Leveraging Federal Policies and Programs to Improve Diabetes Treatment and Reduce Complications.Diabetes care · 2023Review
- How the Gender Wage Gap for Primary Care Physicians Differs by Compensation Approach : A Microsimulation Study.Annals of internal medicine · 2022Article
- Goal-Based Shared Decision-Making: Developing an Integrated Model.Journal of patient experience · 2020Article
- Physician Work Hours and the Gender Pay Gap - Evidence from Primary Care.The New England journal of medicine · 2020Article
- Seeking Care at Free Episodic Health Care Clinics in Appalachia.Journal of Appalachian health · 2020Article
- Task Sharing Chronic Disease Self-Management Training With Lay Health Coaches to Reduce Health Disparities.Annals of family medicine · 2020Article
- National Trends in Primary Care Visit Use and Practice Capabilities, 2008-2015.Annals of family medicine · 2019Article
- Investing in Relationships and Teams to Support Managing Complexity.Journal of general internal medicine · 2017Article
- Redesigning Diabetes Care: Defining the Role of Endocrinologists Among Alternative Providers.Current diabetes reports · 2016Review
- Prostate Cancer Screening: A Brief Tool to Incorporate Patient Preferences in a Clinical Encounter.Frontiers in oncology · 2016Article
- Toward Understanding Social Needs Among Primary Care Patients With Uncontrolled Diabetes.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
aimTo better understand the type and range of health issues initiated by patients and providers in 'high-quality' primary-care for adults with diabetes and low socio-economic status (SES).
backgroundAlthough quality of care guidelines are straightforward, diabetes visits in primary care are often more complex than adhering to guidelines, especially in adults with low SES who experience many financial and environmental barriers to good care.
methodsWe conducted a qualitative study using direct observation of primary-care diabetes visits at an exemplar safety net practice in 2009-2010. Findings In a mainly African American (93%) low-income population with fair cardiovascular control (mean A1c 7.5%, BP 134/81 mmHg, and low-density lipoprotein cholesterol 100 mg/dL), visits addressed a variety of bio-psychosocial health issues [median: 25 problems/visit (range 13-32)]. Physicians most frequently initiated discussions about chronic diseases, prevention, and health behavior. Patients most frequently initiated discussions about social environment and acute symptoms followed by prevention and health behavior.
conclusionsPrimary-care visits by diabetes patients with low SES address a surprising number and diversity of problems. Emerging new models of primary-care delivery and quality measurement should allow adequate time and resources to address the range of tasks necessary for integrating biomedical and psychosocial concerns to improve the health of socio-economically disadvantaged patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.