Summaries of Independent Scientist (K) Awards

Parchman, Michael

Institution: University of Texas Health Science Center
Grant Title: Diabetes Quality of Care in the Primary Care Setting
Grant Number:  K08 HS013008
Duration: 4 years (2002-2006)
Total Award: $474,500

Project Description: This project had three main goals:

1. Describe the facilitators and barriers experienced by large health care organization when implementing clinical practice guidelines, including diabetes guidelines within the primary care setting.
2. Assess the relationship between specific structures and processes of car and the quality of diabetes care within 20 primary care practices.
3. 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.
  • AcademyHealth.
  • North American Primary Care Research Group.
  • Society of Teachers in Family Medicine.
  • American Academy of Family Physicians.

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.

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