Original Research
Sunday, October 13, 2024
12:45 PM–02:15 PM
Abstract
Introduction:
glucose monitors (CGMs) improve hemoglobin A1c and reduce hypoglycemia events. Prior provider surveys, conducted before Medicare coverage expansion, report perceived barriers to CGM uptake that include cost, insurance coverage, and data access.
There is limited data identifying provider training and resources needed to address these barriers.
Research Question or Hypothesis: What are perceived barriers to CGM uptake identified by healthcare providers? What are the reported education and resource needs concerning CGMs communicated by healthcare providers?
Study Design: IRB approved qualitative web-based survey
Methods: After pilot testing and revisions, an investigator developed survey was administered consisting of nominal, Likert-scale, and free-response questions to personnel at endocrinology, family medicine, and internal medicine clinics at one medical center from 2/1/24-4/30/24. Results including demographics, identified barriers, and reported educational needs were collected. Data was presented as descriptive statistics using SAS version 9.4 to provide information about variables in the dataset.
Results: Twenty-seven survey responses were collected from dietitians, medical assistants, nurses, nurse practitioners, pharmacists, physicians, prior authorization representatives, physician assistants, and resident physicians. The top perceived barriers to CGM prescribing included insurance (n=20), cost (n=15), and oral-only diabetic regimens (n=14). The identified education and resource needs comprise of on-site training (n=6), decision support materials (n=6), technological support (n=2), advertised webinars (n=1), and required patient follow-up (n=1).
Conclusion: CGM use has several perceived barriers to initiation. In addition to expansion of insurance coverage and eligibility for CGMs, providers from different specialties and clinical roles continue to desire additional CGM education and resources. Pharmacists are positioned to play a role in addressing unmet educational needs.
Presenting Author
Vincent Lam PharmDUniversity of Maryland School of Pharmacy
Authors
Seferina Kim PharmD, BCPS, CACP
University of Maryland School of Pharmacy
Kathleen Pincus PharmD, BCPS, BCACP, CDCES
University of Maryland School of Pharmacy
Charmaine Rochester-Eyeguokan PharmD, CDCES, BCACP
University of Maryland School of Pharmacy