Primary Care Diabetes
Volume 1, Issue 3 , Pages 147-153 , September 2007

Facility-level variations in patient-reported footcare knowledge sufficiency: Implications for diabetes performance measurement

  • Mangala Rajan

      Affiliations

    • Center for Healthcare Knowledge Management, Department of Veteran Affairs-New Jersey Health Care System, East Orange, NJ, United States
  • ,
  • Leonard Pogach

      Affiliations

    • Center for Healthcare Knowledge Management, Department of Veteran Affairs-New Jersey Health Care System, East Orange, NJ, United States
    • University of Medicine and Dentistry of New Jersey-New Jersey Medical School, United States
    • Corresponding Author InformationCorresponding author at: DVA-New Jersey Healthcare System, 385 Tremont Avenue, East Orange, NJ 07018, United States. Tel.: +1 973 676 1000x1693; fax: +1 973 395 7092/+1 973 395 7111.
  • ,
  • Chin-Lin Tseng

      Affiliations

    • Center for Healthcare Knowledge Management, Department of Veteran Affairs-New Jersey Health Care System, East Orange, NJ, United States
    • University of Medicine and Dentistry of New Jersey-New Jersey Medical School, United States
  • ,
  • Gayle Reiber

      Affiliations

    • Health Services Research and Development, VA Puget Sound Health Care System, Department of Veterans Affairs, United States
    • Departments of Health Services and Epidemiology, University of Washington, Seattle, WA, United States
  • ,
  • Mark Johnston

      Affiliations

    • Center for Healthcare Knowledge Management, Department of Veteran Affairs-New Jersey Health Care System, East Orange, NJ, United States
    • University of Medicine and Dentistry of New Jersey-New Jersey Medical School, United States
    • Kessler Medical Rehabilitation Research and Education Corporation, West Orange, NJ, United States

Received 18 March 2007 ,Revised 6 May 2007 ,Accepted 29 May 2007.

References 

  1. Peters EJ, Childs MR, Wunderlich RP, Harkless LB, Armstrong DG, Lavery LA. Functional status of persons with diabetes-related lower-extremity amputations. Diab. Care. 2001;24(10):1799–1804
  2. Boyko EJ, Ahroni JH, Smith DG, Davignon D. Increased mortality associated with diabetic foot ulcer. Diab. Med. 1996;13:967–972
  3. G.E Reiber, E.J. Boyko, D.G. Smith, Lower extremity foot ulcers and amputations in diabetes. In: Diabetes in America, 2nd ed. National Diabetes Data Group, Ed. Washington, DC, National Institutes of Health, NIDDK, 1995 (Pub. No. NIH 95-1468).
  4. Adler AI, Boyko EJ, Ahroni JH, Smith DG. Lower-extremity amputation in diabetes. The independent effects of peripheral vascular disease, sensory neuropathy, and foot ulcers. Diab. Care. 1999;7:1029–1035
  5. Edelman D, Sanders L, Pogach L. Reproducibility and accuracy among primary care providers of a screening examination of foot ulcer risk in diabetic patients. Prev. Med. 1998;27:274–278
  6. G.D. Valk, D.M. Kriegsman, W.J. Assendelft, Patient education for preventing diabetic foot ulceration, Cochrane Database Syst. Rev. 4:CD001488, 2001.
  7. Litzelman DK, Slemanda CW, Langefeld CD. Reduction of lower extremity clinical abnormalities in patients with non-insulin dependent diabetes mellitus. Ann. Int. Med. 1993;19:36–41
  8. McCabe CJ, Stevenson RC, Dolan AM. Evaluation of a diabetic foot screening and protection programme. Diab. Med. 1998;15:80–84
  9. Mayfield JA, Reiber GE, Sanders LJ, Janisse D, Pogach LM. Preventive foot care in people with diabetes. Diab. Care. 1998;21:2161–2177
  10. United States Department of Health and Human Services, Public Health Service, National Institutes of Health National Diabetes Education Program. A guide for people with diabetes. Take care of your feet for a lifetime. Bethesda, MD, July 2003. Available from http://www.ndep.nih.gov/diabetes/control/control.htm. Accessed February 8, 2004.
  11. Ledda MA, Walker EA, Basch CE. Development and formative evaluation of a self-care program for African Americans with diabetes. Diab. Educ. 1998;24(6):734–740
  12. Neil JA. Assessing foot care knowledge in a rural population with diabetes. Ostomy Wound Manage. 2002;48(1):50–56
  13. Pollock RD, Unwin NC, Connolly V. Knowledge and practice of foot care in people with diabetes. Diab. Res. Clin. Pract. 2004;64(2):117–122
  14. Harwell TS, Helgerson SD, Gohdes D, McInerney MJ, Roumagoux LP, Smilie JG. Foot care practices, services and perceptions of risk among medicare beneficiaries with diabetes at high and low risk for future foot complications. Foot Ankle Int. 2001;22(9):734–738
  15. Kizer KW. The “new VA”: a national laboratory for health care quality management. Am. J. Med. Qual. 1999;14:3–20
  16. Miller DR, Safford MM, Pogach LM. Who has diabetes? Best estimates of diabetes prevalence in the Veterans Health Administration based on computerized patient data. Diab. Care. 2004;27(Suppl. 2):B10–B21
  17. Mayfield JA, Reiber GE, Maynard C, Czerniecki J, Sangeorzan B. The epidemiology of lower-extremity disease in veterans with diabetes. Diab. Care. 2004;27(Suppl. 2):B39–B44
  18. Department of Veterans Affairs. Preservation-Amputation Care and Treatment (PACT) Program. VHA Directive 96-007. Washington, DC: Veterans Health Administration, January 1996. Available from http://www.va.gov/publ/direc/health/direct/196007.htm. Accessed May 13, 2003.
  19. Johnston MV, Pogach LM, Rajan M, Mitchinson A, Krein SL, Bonacker K, et al. Personal and treatment factors associated with foot self-care among veterans with diabetes. JRRD. 2006;43(2):227–238
  20. Wrobel JS, Charns MP, Diehr P, Robbins JM, Reiber GE, Bonacker KM, et al. The relationship between provider coordination and diabetes-related foot outcomes. Diab. Care. 2003;26(11):3042–3047
  21. Pogach L, Charns MP, Wrobel JS, Robbins JM, Bonacker KM, Haas L, et al. Impact of policies and performance measurement on development of organizational coordinating strategies for chronic care delivery. Am. J. Manage. Care. 2004;10(2 Pt 2):171–180
  22. World Health Organization Regional Office for Europe. Therapeutic Patient Education - Continuing Education Programmes for Health Care Providers in the Field of Prevention of Chronic Diseases. Report of a WHO Working Group, 1998.
  23. http://en.wikipedia.org/wiki/Knowledge. Last Assessed September 25, 2006.
  24. Mensing C, Boucher J, Cypress M, Weinger K, Mulcahy K, Barta P, et al. National standards for diabetes self-management education. Diab. Care. 2004;27(Suppl. 1):S143–S150
  25. Persell SD, Keating NL, Landrum MB, Landon BE, Ayanian JZ, Borbas C, et al. Relationshyip of diabetes-specific knowledge to self-management activities, ambulatory preventive care and metabolic outcomes. Prev. Med. 2004;39:746–752
  26. Stewart A, Hays R, Wells K, Rogers W, Spritzer K, Greenfield S. Long-term functioning and well-being outcomes associated with physical activity and exercise in patients with chronic conditions in the Medical Outcomes Study. J. Clin. Epidemiol. 1994;47:719–730
  27. Kaplan S. Diabetes Quality Improvement Project: Patient Survey Final Report: Report to National Committee for Quality Assurance. Washington, DC: National Committee for Quality Assurance; 2001;
  28. Dillman DA. Main and Telephone Surveys: The Total Design Method. New York, NY: Wiley; 1978;
  29. De Berardis G, Pellegrini F, Franciosi M, Belfiglio M, Di Nardo B, Greenfield S, et al. QuED study group-quality of care and outcomes in type 2 diabetes, are type 2 diabetic patients offered adequate foot care? The role of physician and patient characteristics. J Diab. Comp. 2005;19(6):319–327
  30. Institute of Medicine . Crossing the Quality Chasm. A New Healthcare System for the 21st Century. Washington, DC: National Academy Press; 2002;
  31. National Diabetes Quality Improvement Alliance. Available from http://www.medicine.ucsd.edu/fpm/ndqia/organizations.html. Accessed September 25, 2006.
  32. National Committee for Quality Assurance . What's in it and why it matters. Washington, DC: NCQA; 1999;
  33. Ward A, Metz L, Oddone EZ, Edelman D. Foot education improves knowledge and satisfaction among patients at high risk for diabetic foot ulcer. Diab. Educ. 1997;23(1):48–51
  34. Duncan P, Reker D, Kwon S, Lai SM, Studenski S, Perera S, et al. Measuring stroke impact with the stroke impact scale: telephone versus mail administration in veterans with stroke. Med. Care. 2005;43(5):507–515

 This project was supported by VHA HSRD Service, Grant SDR 99-037 to Drs. Pogach and Reiber and HSRD Implementation Grant (IMA 04-064) to Dr. Pogach).

PII: S1751-9918(07)00070-8

doi: 10.1016/j.pcd.2007.05.002

Primary Care Diabetes
Volume 1, Issue 3 , Pages 147-153 , September 2007