This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.
Please go to www.ahrq.gov for current information.
of Texas Health Science Center
Grant Title: Diabetes
Quality of Care in the Primary Care Setting
Grant Number: K08 HS013008
Total Award: $474,500
Project Description: This project had three main
- Describe the facilitators and barriers experienced by large health
care organization when implementing clinical practice guidelines, including
diabetes guidelines within the primary care setting.
- Assess the relationship
between specific structures and processes of car and the quality of diabetes
care within 20 primary care practices.
- Describe how primary care
providers prioritize among competing clinical practice guidelines during
encounters with diabetic patients with multiple chronic conditions.
Career Goals: Dr. Parchman is an Associate
Professor in the Department of Family and Community Medicine at the University of Texas, Health Sciences Center, San Antonio. He received his M.D. from the University of Texas Southeastern and did his residency in Family Practice. He went on to
earn his M.P.H. at the University of Texas School of Public Health in San Antonio. He has become an expert in multi-method research focusing on improving the
quality of type 2 diabetes care in primary care settings and continues to
conduct research on innovative diabetes prevention that will have an impact on
health care policy and practice.
Progress to Date: This grant has been
completed. The publications listed below highlight research findings.
Highlights and Specific Accomplishments:
- Professional societies:
American Diabetes Association.
North American Primary Care
Society of Teachers in Family Medicine.
American Academy of
K-Generated Publications (selected):
Parchman ML, Noel PH. Primary care attributes, health care systems
hassles, and chronic illness. Medical Care 2005. 3(11):1123-29.
Parchman ML, Burge SK. The patient-physician relationship, primary
care attributes and preventive services. Family Medicine 2004. 26:22-27.
Parchman M, Pugh JA, Wang CP, Romero RL. Glucose control,
self-care behaviors and the presence of the chronic care model in primary care
clinics. Diabetes Care 2007: 20(11):1-6.
Wen LK, Parchman ML,
Linn W. Self-monitoring of blood glucose among veterans with diabetes managed
on oral therapy. American Journal of Health-System Pharmacy 2004. 61:2401-05.
Wen LK, Shepherd MD, Parchman
ML. Family support, diet, and exercise among older Mexican Americans with
type 2 diabetes. Diabetes Educator 2004. 30(6)980-93.
Wen LK, Parchman ML,
Shepherd MD. Family support and diet barriers among older Hispanic adults with type
2 diabetes. Family Medicine 2004. 36(6)423-30.
Parchman ML, Pugh JA, Romero Rl, Bowers SK. Competing demands and
clinical inertia: The case of the elevated hemoglobin A1c. Annals of Family Medicine 2007. 5(3):196-201.
Cornell JE, Noel PH, Pugh JA,
Williams JW, Kazis LE, Lee A, Parchment ML, et al. Multimorbidity
clusters: Clustering binary data from a large administrative medical database.
Applied Multivariate Research 2007. 12(3):163-82.
Leykum LK, Pugh JA, Lawrence VA, Parchman BL, et al. Organizational interventions employing principles
of complexity science have improved outcomes for patients with type II
diabetes. Implementation Science 2007: 2:28.
Kaissi AA, Parchman ML.
Assessing chronic illness care for diabetes in primary care clinics. Joint
Commission Journal on Quality and Patient Safety 2006. 32(6):318-23.
Parchment ML, Romero RL, Pugh JA. Encounters by patients with type
2 diabetes-complex and demanding: An observation study. Annals of Family Medicine 2006. 4:40-5.
Espino DV, Bazaldua OV,
Palmer RF, Mouton CP, Parchment ML, et al. Suboptimal medication use and
mortality in an older adult community-based cohort: Results from the Hispanic
EPESE study. Journal of Gerontology A: Biol Sci Med Soc 2006. 61(2):170-5.
Return to Career Development Award Grants