Clark, Emilia (Utah State University)
Faculty Advisor: Glass-Coffin, Bonnie (College of Humanities and Social Sciences; Sociology, Social Work, and Anthropology Department)
Type 2 diabetes (T2D) affects roughly 1 in 10 Americans with as many as 1 in 4 Americans suffering from pre-diabetes, which often leads to full-blown T2D within five years. The role of the physician in managing diabetes is especially crucial, as this is a chronic illness. Because of its long-term impacts and comorbidities, successful treatment of the condition requires the development of effective and on-going provider/patient partnership. The physician must not only thoroughly and accurately assess the patient's condition and recommend the appropriate treatment options, but also guide and motivate patients in ongoing lifestyle changes relevant to each patient's individual circumstance. And, they must do this while working in a system that creates significant barriers and obstacles for creating and maintaining these physician/patient partnerships. Although there is no shortage of research on T2D, there are very few studies that focus on physician insights about these barriers nor are there many studies that analyze the specific strategies, aims, perspectives, and challenges physicians face when juggling the many dimensions of managing T2D over a patient's lifetime. This study adds to what we know about diabetes care by conducting in-depth interviews with a local physician at the Logan Clinic who has been treating T2D for 20 years. Developed in the context of an Ethnographic Methods class in the Anthropology program at Utah State University, this study thus provides new insights on the challenges of approaching type 2 diabetes from the physician perspective.