Showing posts with label primary care. Show all posts
Showing posts with label primary care. Show all posts

Tuesday, February 17, 2015

Racial-Ethnic Disparities in Managing Children with Type 1 Diabetes: Do They Exist?



 
     Everyone would agree that the care they provide to one child versus another shouldn't differ on the basis of race or ethnicity—but unfortunately, disparities in the management of diabetes do exist on that basis—as per some important findings contained in a study being released this week by Willi et al. (doi:10.1542/peds.2014-1774). 
The authors looked at disparities as documented in a national type 1 diabetes clinical registry for more than 10,000 children and teens between 1 year and 18 years of age with the disease.  Even after adjusting for socioeconomic status, differences existed in insulin treatment methods and treatment outcomes. 
So why does this happen—and just what are the disparities noted?  Are results due to different management strategies or perhaps it is because the genetics of the disease differs by race and ethnicity resulting in different achievable levels of hemoglobin A1C and other diabetic outcome measures. 
The authors offer some insight into the findings they have analyzed, but we have also asked diabetologist Dr. Stuart Chalew (doi: 10.1542/peds.2014-4136) to share his perspective on this study via a commentary released simultaneously.  Both the study and commentary are thought provoking, and we hope will generate some conversation from our readers as well via a response in the comments below, an e-letter or comment on our Facebook or Twitter pages.  Do you agree with the findings relative to your own practice?  We look forward to your comments as to whether the disparities noted are ones we can improve upon.

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Wednesday, September 24, 2014

Have You Checked Your Online Rating as a Pediatrician? If You Haven’t, Your Patients Probably Have!

By: Lewis First, MD, MS; Editor-in-Chief 
Photo by Splitshire via Pixabay

Nowadays, everything and anything gets rated and shared online—and if you haven’t noticed, pediatricians are not excluded. So how much do parents use online physician rating sites and how often do they result in a family picking you as their pediatrician?

Hanauer et al. (doi: 10.1542/ peds.2014-0681) studied this issue by analyzing a cross-sectional, national database of more than 3,500 adults surveyed in 2012 about online ratings of physicians in the context of selecting a primary care clinician for their child.

The study is full of interesting findings beginning with the fact that three quarters of parents surveyed knew about the rating sites and just over a quarter had used the sites to select their child’s doctor. The researchers also looked at how important these sites were compared to a neighbor's recommendation when it comes to selecting a primary care physician for their child.

If you need to gain some additional perspective on the topic of physician rating sites, Dr. Bryan Vartabedian (doi: 10.1542/peds.2014-2351) offers his opinion in an interesting commentary also being released this week.

We give this study and accompanying commentary a high rating for helping all of us better understand that these sites are not going away—and that we need to be aware we are being evaluated by our patients’ parents on an ongoing basis on these sites.

Have you found the sites useful in bringing new patients to your practice? Have you looked at your own ratings? Share your thoughts on this issue via a response to this blog, an eLetter, or on Facebook or Twitter.