Risk perception for diabetes among women with histories of gestational diabetes mellitus.

Objective: To examine risk perception for diabetes among women with histories of gestational diabetes mellitus (GDM).

Research Design And Methods: We surveyed 217 women with histories of GDM who were enrolled in a managed-care plan and who did not currently have diabetes. In a cross-sectional design, we assessed the associations between risk perceptions and current lifestyle behavioral practices, plans to modify behaviors, and recent lifestyle behavior changes.

Are physician reimbursement strategies associated with processes of care and patient satisfaction for patients with diabetes in managed care?

Objective: To examine associations between physician reimbursement incentives and diabetes care processes and explore potential confounding with physician organizational model.

Data Sources: Primary data collected during 2000-2001 in 10 managed care plans.

Study Design: Multilevel logistic regressions were used to estimate associations between reimbursement incentives and process measures, including the receipt of dilated eye exams, foot exams, influenza immunizations, advice to take aspirin, and assessments of glycemic control, proteinuria, and lipid profile.