Physician care patterns and adherence to postpartum glucose testing after gestational diabetes mellitus in Oregon.

<h4>Objective</h4>This study examines obstetrician/gynecologists and family medicine physicians' reported care patterns, attitudes and beliefs and predictors of adherence to postpartum testing in women with a history of gestational diabetes mellitus.<h4>Research design and met...

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Autores principales:	Monica L Hunsberger, Rebecca J Donatelle, Karen Lindsay, Kenneth D Rosenberg
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/90bf22f57014427e9106bfc2a8d82b89
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spelling	oai:doaj.org-article:90bf22f57014427e9106bfc2a8d82b892021-11-18T08:12:21ZPhysician care patterns and adherence to postpartum glucose testing after gestational diabetes mellitus in Oregon.1932-620310.1371/journal.pone.0047052https://doaj.org/article/90bf22f57014427e9106bfc2a8d82b892012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23071709/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>This study examines obstetrician/gynecologists and family medicine physicians' reported care patterns, attitudes and beliefs and predictors of adherence to postpartum testing in women with a history of gestational diabetes mellitus.<h4>Research design and methods</h4>In November-December 2005, a mailed survey went to a random, cross-sectional sample of 683 Oregon licensed physicians in obstetrician/gynecologists and family medicine from a population of 2171.<h4>Results</h4>Routine postpartum glucose tolerance testing by both family physicians (19.3%) and obstetrician/gynecologists physicians (35.3%) was reportedly low among the 285 respondents (42% response rate). Factors associated with high adherence to postpartum testing included physician stated priority (OR 4.39, 95% CI: 1.69-7.94) and physician beliefs about norms or typical testing practices (OR 3.66, 95% CI: 1.65-11.69). Specialty, sex of physician, years of practice, location, type of practice, other attitudes and beliefs were not associated with postpartum glucose tolerance testing.<h4>Conclusions</h4>Postpartum glucose tolerance testing following a gestational diabetes mellitus pregnancy was not routinely practiced by responders to this survey. Our findings indicate that physician knowledge, attitudes and beliefs may in part explain suboptimal postpartum testing. Although guidelines for postpartum care are established, some physicians do not prioritize these guidelines in practice and do not believe postpartum testing is the norm among their peers.Monica L HunsbergerRebecca J DonatelleKaren LindsayKenneth D RosenbergPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 10, p e47052 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Monica L Hunsberger Rebecca J Donatelle Karen Lindsay Kenneth D Rosenberg Physician care patterns and adherence to postpartum glucose testing after gestational diabetes mellitus in Oregon.
description	<h4>Objective</h4>This study examines obstetrician/gynecologists and family medicine physicians' reported care patterns, attitudes and beliefs and predictors of adherence to postpartum testing in women with a history of gestational diabetes mellitus.<h4>Research design and methods</h4>In November-December 2005, a mailed survey went to a random, cross-sectional sample of 683 Oregon licensed physicians in obstetrician/gynecologists and family medicine from a population of 2171.<h4>Results</h4>Routine postpartum glucose tolerance testing by both family physicians (19.3%) and obstetrician/gynecologists physicians (35.3%) was reportedly low among the 285 respondents (42% response rate). Factors associated with high adherence to postpartum testing included physician stated priority (OR 4.39, 95% CI: 1.69-7.94) and physician beliefs about norms or typical testing practices (OR 3.66, 95% CI: 1.65-11.69). Specialty, sex of physician, years of practice, location, type of practice, other attitudes and beliefs were not associated with postpartum glucose tolerance testing.<h4>Conclusions</h4>Postpartum glucose tolerance testing following a gestational diabetes mellitus pregnancy was not routinely practiced by responders to this survey. Our findings indicate that physician knowledge, attitudes and beliefs may in part explain suboptimal postpartum testing. Although guidelines for postpartum care are established, some physicians do not prioritize these guidelines in practice and do not believe postpartum testing is the norm among their peers.
format	article
author	Monica L Hunsberger Rebecca J Donatelle Karen Lindsay Kenneth D Rosenberg
author_facet	Monica L Hunsberger Rebecca J Donatelle Karen Lindsay Kenneth D Rosenberg
author_sort	Monica L Hunsberger
title	Physician care patterns and adherence to postpartum glucose testing after gestational diabetes mellitus in Oregon.
title_short	Physician care patterns and adherence to postpartum glucose testing after gestational diabetes mellitus in Oregon.
title_full	Physician care patterns and adherence to postpartum glucose testing after gestational diabetes mellitus in Oregon.
title_fullStr	Physician care patterns and adherence to postpartum glucose testing after gestational diabetes mellitus in Oregon.
title_full_unstemmed	Physician care patterns and adherence to postpartum glucose testing after gestational diabetes mellitus in Oregon.
title_sort	physician care patterns and adherence to postpartum glucose testing after gestational diabetes mellitus in oregon.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/90bf22f57014427e9106bfc2a8d82b89
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Physician care patterns and adherence to postpartum glucose testing after gestational diabetes mellitus in Oregon.

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