地域医療と健康教育

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Measuring Paramedics’ Understanding of and Attitude towards Chronic Diabetes Care: A Bridge to Community Health

Joseph L. McTernan and Eric Matthews

Objective: Chronic diabetic patients need innovative, cost-effective care. Paramedics are providers whose roles are being reviewed to include non-emergent interaction in the chronic disease population. Our research studies includes the potential for paramedics to interact with the diabetic population in the United States with the goal of cost-effective care and improved clinical outcomes through patient education with a focus on self-management and establish a baseline understanding of paramedics’ current knowledge of and attitude toward current chronic diabetes care. Methods: A two-part electronic survey determining paramedics’ knowledge (DKT) and attitude (DAS-3) toward chronic diabetes was completed by 120 participants, of whom 73 met the inclusion criteria. Results: The majority of paramedics (79.4%, n=58) were able to answer 70% of the DKT knowledge survey questions correctly. Stronger scores on the DKT were not associated with length of time as a paramedic, age, sex, education level, having a close friend or relative with diabetes, or any of the DAS-3 components. The DAS-3 results revealed paramedics had a positive attitude about patients with diabetes and their ability to self-manage their disease. Conclusions: The research has shown that baseline paramedic understanding and attitude has the potential to expand the paramedic’s scope of service within the chronic diabetic population. Further research is needed to determine if paramedic chronic diabetes intervention programs would affect patient outcomes.