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Preventive Health Care for DiabeticsA Realistic Vision
Richard C. Wender, MD
Arch Fam Med. 1997;6(1):38-41.
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IN THIS ISSUE ofthe ARCHIVES, Kraft et al1 report their results of a survey that assessed primary care physicians' practice patterns to detect diabetic retinopathy in patients. They found that primary care practitioners fall far short of the guidelines that have been suggested by the American Diabetes Association (ADA), Alexandria, Va. The results of this study by Kraft and colleagues1 in Indiana almost certainly reflect national practice patterns and should not be surprising. With few exceptions, the vast majority of studies of preventive health care provision in primary care settings reveal deficiencies regardless of the aspect of preventive health care that is under scrutiny.2,3 Even for widely accepted preventive items (eg, Papanicolaou smear, mammogram, and hypertension screening), preventive health care performance falls short of the goals dictated by health care policies.4-6
See also page 29
Frankly, many practitioners have developed a kind of defensive denial
. . . [Full Text PDF of this Article]
Author Affiliations
Department of Family Medicine Jefferson Medical College Thomas Jefferson University Philadelphia, Pa
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