Primary Care Providers in California and Florida Report Low Confidence in Providing Type 1 Diabetes Care

Rayhan A Lal; Nicolas Cuttriss; Michael J Haller; Katarina Yabut; Claudia Anez-Zabala; Korey K Hood; Eleni Sheehan; Marina Basina; Angelina Bernier; Linda G Baer; Stephanie L Filipp; C Jason Wang; Marissa A Town; Matthew J Gurka; David M Maahs; Ashby F Walker

doi:10.2337/cd19-0060

Primary Care Providers in California and Florida Report Low Confidence in Providing Type 1 Diabetes Care

Clin Diabetes. 2020 Apr;38(2):159-165. doi: 10.2337/cd19-0060.

Authors

Rayhan A Lal^{1

2}, Nicolas Cuttriss¹, Michael J Haller^{3

4}, Katarina Yabut¹, Claudia Anez-Zabala⁴, Korey K Hood^{1

2}, Eleni Sheehan⁵, Marina Basina^{6

2}, Angelina Bernier⁴, Linda G Baer¹, Stephanie L Filipp⁷, C Jason Wang^{2

8}, Marissa A Town^{1

2}, Matthew J Gurka⁷, David M Maahs^{1

2}, Ashby F Walker^{9

10}

Affiliations

¹ Department of Pediatrics, Division of Endocrinology, Stanford University School of Medicine, Stanford, CA.
² Stanford Diabetes Research Center, Stanford, CA.
³ Department of Health Services Research, Management and Policy, University of Florida, Gainesville, FL.
⁴ Division of Endocrinology, Department of Pediatrics, University of Florida, Gainesville, FL.
⁵ Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL.
⁶ Department of Medicine, Division of Endocrinology, Stanford University School of Medicine, Stanford, CA.
⁷ Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL.
⁸ Center for Policy, Outcomes and Prevention, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA.
⁹ University of Florida Diabetes Institute, Gainesville, FL.
¹⁰ Department of Health Service Research, Management, and Policy, University of Florida, Gainesville, FL.

Abstract

People with type 1 diabetes may receive a significant portion of their care from primary care providers (PCPs). To understand the involvement of PCPs in delivering type 1 diabetes care, we performed surveys in California and Florida, two of the most populous and diverse states in the United States. PCPs fill insulin prescriptions but report low confidence in providing type 1 diabetes care and difficulty accessing specialty referrals to endocrinologists.

Abstract

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