This paper proposes a problem description to my Evidence-Based Practice project. This project will improve diabetes care in primary care settings. Diabetes, which is a chronic illness that can affect millions worldwide, has been affecting the lives of many Americans. This project aims to find gaps in existing practice and implement evidence-based treatments. Then, evaluate the effects of those interventions on patient outcomes.
About 34 million people are living with diabetes in America. This chronic disease requires continuous management in order to prevent blindness and kidney damage. Primary care practitioners (PCPs), who might not be trained in diabetes management, are often responsible for managing diabetes.
Even though there is evidence to support diabetes management guidelines, many patients are not receiving the best care. These gaps can include poor monitoring of blood sugar, inadequate patient education and insufficient use of insulin. There may also be differences in the care of PCPs which could lead to poor diabetes management and patients with worse outcomes.
These evidence-based strategies will be used in primary care to address the gaps in care. The following interventions are available:
- Standardization of care. A standardized approach to diabetes management will also be implemented. This ensures that every patient receives the appropriate care regardless of their PCP. It will use evidence-based guidelines to monitor blood sugar, educate patients, and manage medication.
- Provider education. PCPs receive training and education regarding the latest technologies, such as continuous glucose monitoring (CGM) or insulin pumps.
- Education for patients: Information on managing diabetes will be provided to the patient, which includes information about diet and exercise as well as medication. English as well as Spanish-language educational material will be made available.
- Patient-centered Care: Patients will receive personalized treatment plans that reflect their preferences and needs.
These interventions’ impact will be assessed using both outcome and process measures. The percentage of patients receiving appropriate glucose monitoring, education and medication management will be part of the process measures. The outcome measures include the changes in hemoglobin A1c, blood pressure and lipids, along with any diabetes-related complications like cardiovascular disease or kidney failure.
The end result is that diabetes affects many millions in America and around the world. Although there are many evidence-based guidelines on diabetes management, gaps in care often lead to poor outcomes. This EBP project proposes interventions that include standardization in care, education of providers, education for patients, and patient-centered treatment. These actions aim to close the gaps and improve diabetes outcomes in primary care. These interventions will be evaluated and the evaluation plan will provide useful information to improve diabetes management in the future.