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DOI 10.1159/000090010

Медицинская библиотека · Ophthalmic research · 2005

Expression of tumor necrosis factor alpha and matrix metalloproteinase-9 in surgically induced necrotizing scleritis.

Dennis Consuela, Wright Eugene, Kohn Stephanie, Gavin Iii James R, Parkin Christopher G, Edelman Steven V

Клинический случайСтатьяПоддержка исследования: вне правительства СШАПеревод пока не подготовлен

Аннотация

OBJECTIVES

To identify clinicians' current practice behaviors, attitudes, and obstacles shaping continuous glucose monitoring (CGM) use.

STUDY

DESIGN

This structured survey asked clinicians about their practice environments, their views on the value of CGM and the importance of comprehensive training and education, their preferred prescribing channels for CGM, and details specific to each practice type.

METHODS

Survey participants were selected by PureSpectrum, which used the PureScore system to evaluate participant suitability, collect data, and analyze results. The data show the percentage of respondents in each clinician group who answered each question.

RESULTS

Responses from 101 primary care physicians (PCPs) and 106 endocrinologists were obtained for analysis. Levels of familiarity with the newest CGM technologies were consistent among PCPs and endocrinologists. A large percentage of both PCPs and endocrinologists indicated that concerns about patients' ability to afford CGM were a main reason for prescribing traditional blood glucose monitoring. The majority of PCPs (69%) and endocrinologists (73%) who prescribe CGM prefer the durable medical equipment (DME) channel. Most PCPs (92%) and endocrinologists (91%) indicated they would likely prescribe CGM through the DME channel more often if those suppliers offered disease education and coaching. A large percentage of endocrinologists (76%) and a smaller percentage of PCPs (45%) reported feeling pressured by health insurers to prescribe through the pharmacy channel.

CONCLUSION

Clinician prescribing behaviors continue to be shaped by systemic barriers, including insurance pressures and concerns about patient ability/readiness to use CGM technology.

Для цитирования: Dennis Consuela, Wright Eugene, Kohn Stephanie, Gavin Iii James R, Parkin Christopher G, Edelman Steven V. Expression of tumor necrosis factor alpha and matrix metalloproteinase-9 in surgically induced necrotizing scleritis.. Ophthalmic research. 2005. DOI: 10.1159/000090010.

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