- Describe your topic.
- How are healthcare quality and trust in one’s doctor related, and how does that impact diabetes and hypertension management? How does continuity of care impact patient trust in patients with diabetes/hypertension who are uninsured or have limited access to care? What are the best strategies for increasing continuity of care in this population? What aspects of care continuity predict patient trust and improved health outcomes? What are the most effective interventions for increasing patient trust, especially among vulnerable populations?
- Describe why this topic is important.
- The Centers for Disease Control and Prevention estimates that 30.3 million Americans had diabetes in 2017. Among adults, age-adjusted diabetes rates are highest among Native Americans/Alaska Natives (15.1%), non-Hispanic blacks (12.7%), and Hispanics (12.1%). Poorly controlled diabetes greatly increases the risk of serious complications, including heart disease and stroke, retinopathy and blindness, kidney disease, peripheral neuropathy, and amputations. It was the seventh leading cause of death in 2015. Hypertension affects approximately 75 million American adults, about half of whom have poorly controlled blood pressure, putting them at risk for heart disease, stroke, and hypertensive renal disease. Hypertension rates in the U.S. are highest among non-Hispanic black adults. Essential hypertension/hypertensive renal disease was the 13th leading cause of death in 2014, with an age-adjusted death rate of 8.2 per 100,000. Diabetes and hypertension management includes appropriate diet, exercise, and medications.
- Tell us why you are suggesting this topic.
- The research topic presented here was created by stakeholder participants in the first demonstration of a PCORI-funded study testing the SEED Method study at Virginia Commonwealth University (go.vcu.edu/SEED). The SEED Method is a new methodology that combines stakeholder engagement with a review of the literature to generate research questions around a health topic. The first demonstration involved patients and service providers in a facilitated process to develop research questions on diet and behavioral management of diabetes and hypertension. We are disseminating the research questions/priorities to relevant organizations and funding institutions in the hopes of increasing interest, research, and funding on these topics.
- Describe what you are doing currently and what you are hoping will change because of a new evidence report.
- We have circulated the research agendas to other organizations, researchers, funding institutions, and academic journals in the hopes of increasing interest, research, and funding on topics that are of importance to stakeholders. An evidence report would gather available evidence to answer questions that are important to patients, service providers, and other stakeholders and may promote clinical uptake of findings, as well as highlight gaps in the evidence base that may inform and encourage future research efforts in this topic area.
- Information About You: (optional)
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- Provide a description of your role or perspective.
- Researcher
