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Clinician-Reported Barriers and Needs for Implementation of Continuous Glucose Monitoring
Tristen Hall1, Meredith K Warman2, Tamara Oser2
1From the Department of Family Medicine, University of Colorado Anschutz Medical Campus Aurora, CO; American Academy of Family Physicians National Research Network, Leawood, KS. tristen.hall@ucdenver.edu.
Journal of the American Board of Family Medicine : JABFM
|October 25, 2024
Summary
Primary care clinicians face barriers to prescribing continuous glucose monitoring (CGM) for diabetes patients, including insurance coverage and time constraints. Increased education and support are needed to expand CGM use in primary care settings.
Area of Science:
- Diabetes Management
- Primary Care Medicine
- Medical Technology Adoption
Background:
- Continuous glucose monitoring (CGM) improves health outcomes for type 1 and type 2 diabetes patients.
- CGM is recommended by the American Diabetes Association but primarily prescribed in endocrinology.
- Most diabetes care, especially for type 2 diabetes, occurs in primary care settings.
Purpose of the Study:
- To investigate primary care clinicians' perceptions of barriers to prescribing CGM.
- To identify resources required to facilitate CGM adoption in primary care.
Main Methods:
- Qualitative study utilizing semistructured interviews with 55 primary care clinicians across 21 states.
- Participants were recruited via practice-based research networks.
- Rapid qualitative analysis was employed to identify key themes.
Main Results:
- Clinicians recognized CGM's benefits for diverse patient populations.
- Key barriers identified were lack of insurance coverage and time limitations.
- Essential resources included clinician education, support staff, and EHR integration.
Conclusions:
- Primary care clinicians encounter significant challenges in prescribing CGM.
- There is a strong interest among primary care providers to enhance their knowledge of CGM.
- Improved clinician education and expanded insurance coverage are crucial for wider CGM implementation in primary care.
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