The patient centered medical home (PCMH) model has been considered a hallmark for high quality health care. Although the concept of coordinated care is fundamental to the principle of the PCMH, and although primary care teams are increasingly integrating patient- and family-centered approaches into their practice workflow for diabetes support,1 primary care physicians still need to develop a better understanding of how to coordinate population-based management of diabetes while maintaining a patient–centered approa
- Posted April 26, 2012 by Kevin A. Peterson, MD, MPH
- Posted December 2, 2011 by Kevin A. Peterson, MD, MPHDr. Leahy and Dr. Hirsch provide a great introduction to the very latest info on MODY! Dr. Leahy’s frank discussion of practical diagnostic considerations in patients with hyperglycemia who do not easily fit into the classification of type 1 or type 2 diabetes provides a refreshing look at how we practice today and a peek at how we may practice in the future. Dr.
- Posted August 3, 2011 by Kevin A. Peterson, MD, MPH
It was only 2007 that the American Diabetes Association and the American Heart Association recommended together that almost everyone with diabetes over 40 years old should take aspirin. Clinical performance groups picked up the recommendation, and we soon began to see the emergence of “pay for performance programs” that added aspirin to their measure of optimal diabetes care and reimbursed providers accordingly.
- Posted May 4, 2011 by Kevin A. Peterson, MD, MPHTags:
- Posted August 1, 2010 by Kevin A. Peterson, MD, MPH
Do you recognize this patient? I have seen him in my office, or a person just like him. The Center for Disease Control (CDC, HHS) estimates that 57 million people in the U.S. have pre-diabetes. (1) If you look, you can probably recognize a person like this in every primary care office in the U.S. Unfortunately we still don’t have an evidence-based answer for the best therapeutic course for treatment of pre-diabetes.
- Posted July 29, 2010 by Kevin A. Peterson, MD, MPH
As a family doctor I have seen enough change in prevailing health care recommendations to convince me that good evidence is the essential basis of good medicine. Call me an evidence-based primary care skeptic, and I won’t disagree. But good evidence takes a long time, and people suffering with diabetes shouldn’t have to wait for better therapy. While the prevalence of diabetes grows throughout the world, the treatment methods that we have historically relied upon continue to result in poor control and rates of complications that are far too hi