Evidence map›Paper›PMID 31781768›Full record

ArticleFamily practice2020

Clinical management of Type II Diabetes among the unstably housed: a qualitative study of primary care physicians.

Mariana L Henry, Judith H Lichtman, Kendra Hanlon, Danya E Keene

Abstract read
In one paragraph

Article in Family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mariana L HenryDepartment of Chronic Disease Epidemiology, New Haven, CT, USA.
Judith H LichtmanDepartment of Chronic Disease Epidemiology, New Haven, CT, USA.
Kendra HanlonDepartment of Social and Behavioral Sciences, Yale University School of Public Health, New Haven, CT, USA.
Danya E KeeneDepartment of Social and Behavioral Sciences, Yale University School of Public Health, New Haven, CT, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
NCATS NIH HHS UL1 TR000142NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundHousing is a growing challenge for US adults in an increasingly unaffordable housing market. These housing challenges can create barriers to effective management and control of Type II Diabetes. However, little is known about how housing challenges are perceived and navigated by clinicians who care for patients with Type II Diabetes.

objectiveTo examine how primary care clinicians perceive and navigate their patients' housing challenges in the context of Type II Diabetes management.

methodsWe conducted semi-structured interviews with 18 primary care clinicians practising in four clinical settings in New Haven, Connecticut. Two investigators systematically coded the interviews. Analysis of coded data was used to determine themes.

resultsParticipants considered housing as significant to their patients' health and a potential barrier to optimal diabetes management. Participants sought to improve their patients' housing through advocacy, referrals and interdisciplinary collaborations. They also adjusted clinical decisions to adapt to patients' housing challenges. In making clinical adjustments, participants struggled to find a balance between what they perceived to be feasible for unstably housed patients and maintaining a standard of care. Some participants navigated this balanced by employing creative strategies and individualized care.

conclusionIn highlighting the challenges that clinicians face in maintaining a standard of care for unstably housed diabetes patients, our findings speak to the need for more guidance, resources and support to address housing in a clinical setting.

Indexed as

HousingIll-Housed PersonsPhysicians, Primary CareAttitude of Health PersonnelDiabetes Mellitus, Type 2FemaleHumansInterviews as TopicMaleQualitative Researchdiabeteshousingmedical educationphysiciansprimary carevulnerable populations

Identifiers

PMID31781768
PMCPMC7377290

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Registered trials

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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.