Primary care and emergency medicine physicians may encounter patients who are seeking abortions, require miscarriage management or post-abortion care. Yet, little is known about their respective abortion training. We aimed to elucidate the interest and experience in abortion care among non-obstetrics/gynecology (OBGYN) residents. We conducted a cross-sectional survey of residents in family medicine, emergency medicine, internal medicine and pediatrics at a single academic institution in 2023-2024, evaluating interest and experience in abortion provision. Descriptive statistics were used for categorical variables, and comparisons were made via chi-square testing. 104 out of 297 residents completed the survey (26 family medicine; 22 emergency medicine; 36 internal medicine; 20 pediatrics; 35% response rate). The majority (94%) thought abortion should be legal in all or most cases, and 90% were interested in learning more about abortion provision. A majority were interested in being trained to provide medication abortions (87%), counsel on pregnancy options (94%), manage abortion complications (95%) and learn more about abortion policies (92%). A majority thought their patients would be interested in accessing abortion care in their primary care offices (88%) or the emergency room (86%). Despite significant interest, experience in abortion care was minimal; the majority reported never prescribing medications (71%) or performing manual vacuum aspirations (88%) for abortion or miscarriage management. While interest in abortion provision is high among residents in specialties beyond OBGYN, experience is limited. This represents an opportunity for expanded education and training in abortion care among these specialties.

In a shifting policy era: California provider knowledge and practice of medical exemption laws during the COVID-19 pandemic.

ResumenIntroducción:se ha documentado la repercusión de la obesidad, en especial de tipo central para el desarrollo de enfermedades cardiovasculares. Las estrategias educativas buscan fortalecer mediante acciones el tratamiento no farmacológico de esta enfermedad.Objetivo:evaluar el impacto del programa Pasos por la salud en pacientes con sobrepeso y obesidad.Material y métodos:estudio longitudinal, prospectivo, observacional, llevado a cabo en 25 pacientes con sobrepeso y obesidad, adscritos a la Unidad de Medicina Familiar No. 75 del Instituto Mexicano del Seguro Social, de septiembre de 2023 a marzo de 2024, con un muestreo no probabilístico por conveniencia que incluyó participantes de la estrategia educativa Pasos por la salud. Se excluyeron mujeres embarazadas y pacientes con discapacidad psicomotora. Se realizaron mediciones somatométricas, clínicas, bioquímicas al inicio y término de la estrategia. El nivel de actividad física se midió con el Cuestionario internacional de actividad física (IPAQ).Resultados:se obtuvo un impacto positivo de la intervención. La edad promedio fue de 60 años; predominaron mujeres; casadas; escolaridad primaria; antecedente de diabetes e hipertensión en 20%. Hubo aumento en la actividad física (p = 0.02), disminución en valores antropométricos (p = 0.01), mejora en presión arterial (p = 0.03), control de glucosa (p = 0.03), reducción de triglicéridos (p = 0.007) y aumento de HDL (p = 0.02).Conclusiones:la estrategia educativa Pasos por la salud impactó de manera positiva.

Hypertension and type 2 diabetes mellitus (T2DM) are prevalent chronic diseases that share common risk factors and contribute significantly to the economic burden on healthcare systems. Their impact is more pronounced in low-income countries, where they increase the prevalence of complications and associated healthcare costs. To compare the costs of pharmacological treatment of hypertension according to the number of complications between patients with hypertension vs. patients with hypertension/T2DM. An analytical cross-sectional study was conducted in two family medicine units in the metropolitan area of Mexico's central region. Subjects with hypertension and those with hypertension and T2DM were included. Hypertension-related complications were identified, and a microcosting analysis of hypertension pharmacological treatment was performed. To compare treatment costs between both groups it was used the Mann-Whitney U test. The cost of pharmacological treatment for patients with hypertension and T2DM was $30.5 USD higher compared to those with hypertension alone. The most common complications were heart disease, chronic kidney disease, and hypertensive retinopathy, with costs increasing as the number of complications rose. This effect was more stressed in the hypertension and T2DM group. The pharmacological treatment cost for patients with hypertension and T2DM was higher compared to those with hypertension alone, even in patients without complications.

Background/Objectives: The complexity of healthcare systems and the unclear interactions within them remain key challenges to improving quality and outcomes. The Patient Activation Measure (PAM-13) is a tool that offers insight into patient interactions with healthcare services and has been used for nearly 20 years. However, its application in tertiary healthcare facilities in Saudi Arabia has not been evaluated. This study aimed to assess the feasibility and acceptability of implementing the PAM-13 in a university Family Medicine Center and to evaluate its effect on enhancing patients’ engagement, activation, self-management, and participation in routine care. Methods: A quasi-experimental study was conducted from November 2024 to June 2025 using stratified cluster sampling from the diabetes and chronic diseases unit, care of older adults’ unit, and general family medicine unit. The estimated sample size was 65 patients. Statistical analyses were performed using SPSS. Results: Baseline PAM-13 scores varied across participants, with most patients in levels 2 and 3. Following the tailored intervention, activation significantly improved in the intervention group (p = 0.004), particularly among those initially in levels 1 and 2. Activation scores in the control group declined. No significant short-term changes were observed in clinical outcomes, including blood pressure, glucose, or cholesterol levels. Conclusions: Tailored interventions based on PAM-13 enhanced patient activation in a tertiary care setting. Patients with lower baseline activation showed notable improvements in engagement and self-management. Further longitudinal, multicenter studies are needed to determine the sustainability and clinical impact of these improvements.

Objective: To examine the quality of life of patients with gonarthrosis who underwent conservative treatment. Methods: A descriptive, prospective, observational, and cross-sectional study was conducted with a sample of 114 patients registered at Family Medicine Unit 35, calculated using the formula for finite populations. A non-probability sampling method was used. The Oxford Knee Quality of Life Scale was administered. Statistical analysis included chi-square tests. Results: A significant difference (p < 0.001, chi-square) was found in quality of life. Those receiving conservative treatment (weight control), those receiving conservative treatment (physical exercise), and those without pharmacological treatment were more frequently associated with excellent and good quality of life. Conclusion: This study demonstrated that conservative treatment (weight control and physical exercise), as well as those without pharmacological treatment, is associated with a better perception of quality of life in this study group, particularly through weight control and physical exercise.

ABSTRACT This study investigated health care providers’ (HCPs’) attitudes and experiences with initiating HPV vaccination at 9–10 y old instead of 11–12 y old. We conducted a cross-sectional online survey with 500 US HCPs who reported recommending and/or administering HPV vaccination to pediatric patients, recruited from a membership-based panel. The survey focused on providers’ experiences with, and attitudes toward, routine HPV vaccination at age 9–10. Participants included pediatricians (n = 175), family medicine physicians (n = 175), nurse practitioners (n = 75), and physician assistants (n = 75). HCPs were mostly female (56%), white (79%), with a mean age of 43 y. HCPs reported mentioning the HPV vaccine to boys and girls before age 11 72% and 77% of the time, respectively, but recommending it prior to age 11 less frequently (38% and 51% of the time). Few HCPs (11%) reported introducing the vaccine at the same visit at which it was given; 36% reported multiple discussions before acceptance. A substantial proportion of HCPs (23%) would not administer HPV vaccine when children were <11 y old, even if asked by parents. HCPs reported that a majority of parents who were offered HPV vaccination for their children at 9–10 y of age accepted. HCPs identified benefits of earlier vaccination; the top three were improving on-time completion, completion prior to other adolescent vaccines and increased opportunities to vaccinate. Top concerns included parent misconception about the duration of protection and difficulty explaining HPV vaccination to a younger child. Findings suggest most HCPs would support earlier HPV vaccination and see potential for improved completion.

ObjectiveThe present study examined links among physician implicit bias and physician word use and patient satisfaction during outpatient medical visits.MethodTo test these relationships, we measured implicit anti-Hispanic bias of 53 internal and family medicine residents and audio recorded outpatient visits between these residents and 291 of their Hispanic-identifying patients between 2015 and 2017. After each visit, both patients and resident physicians completed surveys measuring their perceptions of the interactions (residents) or their satisfaction with their care (patients). Linguistic Inquiry and Word Count was used to quantify resident word use from each audio recording.ResultsA quadratic relationship between physician implicit bias and patient satisfaction suggested that increased levels of implicit anti-Hispanic bias were related to lower levels of patient satisfaction, but only at high levels of physician bias. Exploratory analyses revealed that several language variables interacted with physician implicit bias to predict patient satisfaction suggesting that implicit bias may also be communicated by more moderately biased physicians in some contexts.ConclusionsThese results add to a growing literature establishing links between physician implicit bias and patient care and suggest that future work should explore how context impacts the communication of physician bias to patients.

Objective: Atrial fibrillation (AF) is the most common type of arrhythmia and is responsible for a large proportion of hospitalizations. In this study, we aimed to investigate the presence of atrial fibrillation(AF) without developing thromboembolic complications in patients who applied to family medicine. Methods: The study included patients over 65 who applied to A University Training and Research Hospital and a State Hospital Family Medicine polyclinic. Those who had previously been diagnosed with AF were excluded from the study. Electrocardiography (ECG) was performed on patients over 65 who applied to our polyclinics to examine the frequency of AF. To assess the risk of thromboembolism, the CHA2DS2-VASc score was utilized. This score is a widely accepted and validated risk stratification system designed to predict stroke in patients with non-valvular AF. Results: In a study involving 146 participants with a mean age of 73.86±7.38 years (61.6% female, 38.4% male), AF incidence was 11%. Isolated hypertension was the most common diagnosis, affecting 58% of patients with chronic diseases linked to AF. While AF was more prevalent in men (14.3%), the difference was insignificant (p=0.310). Most patients with AF (87.5%) had a CHA2DS2-VASc score of 2 or higher. The mean systolic blood pressure was 132.59±22.03 mmHg in non-AF patients compared to 124.00±21.62 mmHg in AF patients. A history of cardiac surgery and arrhythmias was associated with a higher incidence of AF (p=0.010). Conclusion: The prevalence of AF in individuals over 65 years of age was found to be 11%, and the presence of comorbid disease was found to constitute the most important risk group. CHA2DS2-VASc score was two or above in 87.5% of patients and formed the high-risk group for stroke. In the study, patients with AF diagnosed before the development of thromboembolic complications were referred to the cardiology clinic for thromboembolic prophylaxis. This allowed the organization of cost-effective treatments based on bleeding risk scores and clinical indications. In primary health care services, every patient presentation should be evaluated effectively, and patients with symptoms and findings from a physical examination should be examined for AF.

Multimorbidity Prevalence, Patterns, and Associated Factors: A Cross-Sectional Study Among Adults Visiting the Family Medicine Department at Hatta Hospital, United Arab Emirates

BackgroundThe therapeutic relationship is a professional partnership between clinicians and patients that supports open communication and clinical decision-making. This relationship is critical to the delivery of effective mental health care. The integration of artificial intelligence (AI) into mental health care has the potential to support accessibility and personalized care; however, little is known about how AI might affect the dynamics of the therapeutic relationship.ObjectiveThis study aimed to ascertain how physicians anticipate AI tools will impact the therapeutic relationship in mental health care.MethodsWe conducted 42 in-depth interviews with psychiatrists and family medicine practitioners to investigate physician perceptions regarding the impact of AI on mental health care.ResultsPhysicians identified several disruptions from AI use, noting that these tools could impact the dyad of the patient-physician relationship in ways that are both positive and negative. The main themes that emerged included potential disruptions to the therapeutic relationship, shifts in shared decision-making dynamics, and the importance of transparent AI use. Participants suggested that AI tools could create efficiencies that allow for relationship building as well as help avoid issues with miscommunication during psychotherapeutic interactions. However, they also expressed concerns that AI tools might not adequately capture aspects of the therapeutic relationship, such as empathy, that are vital to mental health care. Physicians also raised issues related to the impact that AI tools will have on maintaining relationships with patients.ConclusionsAs AI applications become increasingly integrated into mental health care, it is crucial to assess how this integration may support or disrupt the therapeutic relationship. Physician acceptance of emerging AI tools may be highly dependent on how well the human elements of mental health care are preserved.

The family, as a core institution of social structure, plays a crucial role in the social, cultural, and psychological development of individuals. This study investigates the structural and thematic characteristics of family-related academic production in Turkey following the declaration of 2025 as the “Year of the Family” by presidential decree. A total of 123 open-access theses containing the term “family” in their titles, published in the National Thesis Center of the Council of Higher Education by May 31, 2025, were analyzed through bibliometric methods. The analysis revealed that 98% of the theses were written in Turkish, 69.9% were authored by women, and quantitative methods (69.1%) were predominantly used. Disciplines such as Family Medicine, Business Administration, Islamic Studies, Social Work, and Psychology were among those addressing family issues. Keyword analysis highlighted frequent use of “parent,” “child,” “woman,” “marriage,” and “therapy.” Overall, the findings demonstrate that family-focused academic studies are produced within an interdisciplinary framework and are strongly connected with themes of gender, health, education, and social welfare. In this context, the proposed Family Institute, to be established in collaboration between the Council of Higher Education and the Ministry of Family and Social Services, is expected to facilitate the integration of academic knowledge and social policy.

Pediatric obesity remains a major public health concern in the United States and is associated with early development of cardiometabolic and psychosocial comorbidities. Although early recognition and escalation to evidence-based interventions are recommended, the extent to which primary care providers are prepared to manage pediatric obesity varies. This study assessed the knowledge, attitudes, and practices (KAP) of pediatric and family medicine providers regarding pediatric obesity management, including the use of pharmacologic and surgical treatments.A cross-sectional, anonymous electronic survey was distributed to pediatricians and family medicine providers across Oklahoma through professional networks. The survey included multiple-choice, Likert-scale, and open-ended questions evaluating knowledge of obesity definitions, comfort with treatment options, practice patterns, and access to supportive resources. Quantitative responses were analyzed descriptively, and qualitative responses underwent thematic analysis.Forty providers met inclusion criteria. While most respondents correctly identified obesity thresholds, only 60% accurately defined severe obesity and 65% reported minimal familiarity with pediatric metabolic and bariatric surgery. Limited comfort with obesity management (55%) and poor access to exercise counseling (83%), behavioral health (44%), and bariatric surgical consultation (61%) were common. Pharmacotherapy and surgical referrals remained substantially underutilized.Primary care providers demonstrated knowledge gaps, limited confidence, and restricted access to resources for managing pediatric obesity. Enhanced provider education and improved system-level support are needed to facilitate timely, evidence-based care.

BackgroundAlzheimer's disease (AD) affects over 10% of individuals aged 65 and older, with Black and Hispanic/Latino individuals experiencing a 1.5‐2.0 times higher prevalence than white individuals. Despite these disparities, AD remains underdiagnosed, particularly in non‐white populations. Current dementia screening tools, such as the Mini‐Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA), face challenges in time efficiency, accessibility, and cultural sensitivity. This study aimed to implement a brief dementia screening tool integrated into the electronic health record (EHR) and evaluate its impact on diagnosis, workup, and treatment in a diverse family medicine clinic in Los Angeles County.MethodThe dementia screening tool (DST), developed collaboratively by the University of California Alzheimer's Disease Centers and the California Department of Public Health, was designed to be brief (<5 minutes) and adaptable. It includes a three‐question patient questionnaire, an informant input option, and the Mini‐Cog assessment. To enhance accessibility, the tool was translated and culturally adapted for Spanish‐speaking patients. Patients aged 60+ completed the DST before their annual wellness visits, with results integrated into the EHR. This pre‐post intervention study compared patients aged 60+ without a prior dementia diagnosis during the pre‐intervention (February 2016–August 2022) and post‐intervention (September 2022–June 2023) periods. Outcomes included new dementia diagnoses, medications, specialty referrals, labs, and imaging.ResultThe DST was implemented, screening 996 patients in 10 months. Screening led to 35 specialty care referrals and 15 new dementia diagnoses. New diagnoses increased from 4.17% pre‐DST to 4.80% post‐DST all (OR 2.10, p = 0.02) and 6.43% among those screening positive (OR 2.57, p = 0.04). Dementia medication prescriptions rose from 2.93% pre‐DST to 4.94% in the post‐DST all group, reaching 6.87% among those who screened positive. Specialty referrals were more frequent post‐DST all (9.13%) and even higher among those screening positive (14.16%). Post‐DST, all secondary outcomes significantly improved, including increased use of diagnostic labs and imaging studies.ConclusionIntegrating a brief, culturally sensitive DST into primary care significantly improved dementia diagnosis rates, workup, referrals, and treatment. These findings highlight the potential for broader implementation of the DST to enhance dementia care and address health disparities in diverse populations.

ABSTRACT Objective: Collaboration among professional disciplines is essential for providing thorough patient-focused care in family medicine. This study sought to assess the interprofessional identities and perspectives of family medicine residents at Süleyman Demirel University in Turkey. Methods: A descriptive cross-sectional study was conducted involving 61 participants from two residency programs: the Family Medicine Residency Program (FMRP) and the Contract Family Medicine Residency Program (CFMRP). The Extended Professional Identity Scale (EPIS-Tr), Dual Identity Scale (DIS-Tr), Dual Identity Scale (DIS-Tr), and Interprofessional Attitude Scale (IPAS-Tr) were used. Results: The average age of the 61 participants was 31.62±6.56 years, with a sex distribution of 48% male and 52% female. FMRP residents were younger and had less work experience than CFMRP residents did. There were no statistically significant differences between the two groups regarding the EPIS-Tr, DIS-Tr, or IPAS-Tr subscales. Correlation analysis revealed weak to moderate positive correlations between EPIS-Tr and DIS-Tr (r=.32, P=.037), EPIS-Tr and IPAS-Tr (r=.35, P=.021), and DIS-Tr and IPAS-Tr (r=.27, p=.026). All three scales exhibited excellent internal consistency, with Cronbach's α values exceeding .90. Conclusion: The findings indicate that residents of family medicine possess favorable interprofessional identities and attitudes, underscoring the potential to enhance the quality of primary healthcare through collaborative efforts among professionals. To effectively implement interprofessional collaboration in family medicine, it is crucial to develop strategies that address both obstacles and enablers at the system, organizational, interpersonal, and individual levels.

Family Medicine (FM) core values shape clinical practice, medical education, policy, and research. While universally recognised FM principles exist, their interpretation and implementation may vary significantly across different contexts, countries and time. This scoping review systematically examined literature from diverse international sources to identify and analyse the evolving core values of FM. Relevant studies were reviewed to determine common themes, variations, contextual influences shaping FM and emerging themes. Twenty-one studies were included. Core values such as person-centred care, continuity, comprehensiveness, and coordination featured prominently across the literature. Although these traditional values persisted, their interpretations and prioritisations varied significantly according to geopolitical and healthcare system structures. Regional differences reflected local workforce structures, healthcare challenges, and sociopolitical context. High-income regions emphasised values like relational care, stewardship, and advocacy reflecting evolving expectations towards social responsiveness. Lower-resourced areas prioritised accessibility, procedural competence, and team-based leadership, responding pragmatically to infrastructural constraints. Over time, new values such as sustainability, comfort with complexity, and social accountability have emerged, indicating global concern for equity, physician well-being and proactive public engagement. This review highlights a dynamic landscape of FM values, shaped by both universal principles and local adaptation. As countries refine their health systems and FM roles, there is a need for value frameworks that are both globally informed and locally grounded. Clear articulation of values will guide education, policy, research, and professional identity, ensuring that FM remains responsive and relevant amidst evolving healthcare landscapes.

BackgroundBlood‐based biomarkers (e.g., ptau217) and anti‐amyloid therapies have increased the need for earlier, systematic dementia detection in primary care. However, PCPs often lack the tools, training, and time to incorporate these innovations into routine practice. Recognizing this gap, the University of Kansas Health System (UKHS) has implemented a health‐system‐wide model to empower PCPs and streamline dementia care as part of the Davos Alzheimer's Collaborative Healthcare System Preparedness Accurate Diagnosis Program.MethodsThe Brain Health Care Accelerator program at UKHS is a system‐wide model to transform dementia care across primary care clinics in collaboration with specialty memory care. This approach integrates standardized workflows, clinical decision support tools, blood biomarkers, and collaborative care models to enhance early identification and intervention of mild cognitive impairment and dementia while improving PCP diagnostic confidence. Key components include the “Cognitive Assessment Visit” template, blood biomarker testing (ptau217), and specialized referral pathways to memory care sub‐clinics. The “Cognitive Assessment Visit” provides PCPs with a standardized approach to evaluation, incorporating EHR‐based decision support to guide clinical management. Collaborative care models connect PCPs and memory specialists, ensuring the PCP remains central to the patient's care. If memory specialist support is needed, patients can be referred to: (1) E‐Consult Service for rapid specialist electronic consultation, (2) Complex Diagnostic Clinic for comprehensive evaluations, (3) Anti‐Amyloid Treatment Clinic for eligibility and management of monoclonal antibody therapy, (4) Comprehensive Memory Support Clinic for long‐term disease management and caregiver support.ResultsData on key metrics—time‐to‐diagnosis, time‐to‐referral, treatment initiation, and health service utilization—are systematically collected to evaluate the impact of this scalable, collaborative model. Initial feedback indicates high interest and engagement among PCPs. We also are conducting qualitative assessment of the feasibility and acceptability of the program from health system leadership. The UKHS Family Medicine Department is set to adopt the program in mid‐2025.ConclusionsThis health‐system‐wide model empowers PCPs with clinical decision support, biomarkers, and collaborative care pathways to improve diagnostic accuracy and expand access to timely, high‐quality care. By bridging primary and specialty memory care, this model provides a scalable solution to meet the rising demand for dementia care and address the specialist shortage.

Background and Objectives: Clinical preceptors serve a vital role in medical education. Recruiting and retaining clinical preceptors, especially in family medicine, is a growing challenge for US medical schools. This study aimed to investigate the incentives and barriers family physicians at the University of Colorado School of Medicine (CUSOM) face when deciding to serve as clinical preceptors, and to explain why these physicians become, remain, and/or stop serving as preceptors. Method: A cross-sectional survey was distributed to 376 family physicians associated with CUSOM who were active clinical teachers, had been clinical teachers in the past, or were associated with practices that historically had taken medical student learners, with a 60.6% response rate. We calculated descriptive statistics for single-choice, closed-ended survey questions. For the open-ended questions, we adopted a thematic analysis. Results: The results revealed that intrinsic motivators, such as a love for teaching (76.6%), a sense of duty to the profession (67.8%), and relationships with students (58.5%) were the primary reasons that preceptors chose to teach clinically. Conversely, time (an extrinsic factor), was the largest barrier to teaching that current (80.0%) and potential (51.3%) preceptors faced. Conclusions: Our results indicate that family physicians largely balance intrinsic motivators against extrinsic barriers when deciding whether to clinically precept medical students. While a longitudinal integrated clerkship model can amplify the impact of these intrinsic motivators, addressing the preceptor shortage may require focus on the motivators that preceptors report as most meaningful and minimizing the impact of the time burden of teaching.

Abstract Objective and Aim Patient empowerment has emerged as a cornerstone of chronic disease management, particularly in type 2 diabetes mellitus (T2DM), where long-term self-management is essential. Despite growing interest, uncertainties remain regarding the determinants of empowerment and its relationship with metabolic outcomes. To evaluate patient empowerment levels in individuals with T2DM and to identify sociodemographic, clinical, and behavioral factors associated with empowerment. Materials and Methods This descriptive cross-sectional study included 125 adults with T2DM attending the Endocrinology Outpatient Clinic of Çukurova University Faculty of Medicine. Data were collected through face-to-face interviews using a sociodemographic questionnaire and the Diabetes Empowerment Scale (DES). Clinical and laboratory parameters were obtained from medical records. Statistical analyses were performed using SPSS v20.0. Results The mean age of participants was 55.1 ± 9.7 years, and 75.2% were female. The mean total DES score was 82.4 ± 11.4, indicating a moderate-to-high level of empowerment. Lower education level, older age, and suboptimal adherence to lifestyle recommendations were associated with lower empowerment scores. No significant correlation was found between DES scores and glycemic or lipid parameters, including HbA1c. Conclusion Patient empowerment among individuals with T2DM was moderate to high but varied according to educational and sociodemographic characteristics. Integrating empowerment-based strategies into family medicine and primary care, with attention to cultural context, may enhance self-management capacities and overall diabetes care. Keywords: Patient Empowerment, Type 2 Diabetes Mellitus, Self-Management, Primary Care, Family Medicine

Abstract Objective and Aim Aims: Diabetes mellitus negatively affects the quality of life, work life, interpersonal relationships, social activities and health of patients. The aim of this study is to investigate the relationship between treatment compliance and diabetes-related quality of life in patients with type 2 diabetes. Material and Methods This cross-sectional study was conducted at Çukurova University Training Family Health Center between 01 January 2024 and 29 February 2024. Patients who had given informed consent completed the Sociodemographic Data Collection Questionnaire, the Diabetes Specific Quality of Life Scale (DQOL), and the Modified Morisky Scale. Data was analyzed using SPSS (Statistical Package for the Social Sciences) 23.0 package program. Results The participants’ mean DQOL score was 3.92±0.7 showing a moderate-good quality of life. The participants' mean medication adherence motivation level score was 1.53±0.7 and the mean medication adherence knowledge level score was 1.88±0.7 showing a high level of medication adherence. A weak positive (linear) correlation was found between the medication adherence motivation level scores and DQOL anxiety/worry about diabetes scores (r= 0.168) (p=0.031). A weak positive (linear) correlation was found between low treatment adherence and the anxiety/worry about diabetes (r= 0.180) (p=0.021). It was found that the DQOL scale scores of patients with normal body weight were significantly higher than those of the obese patients (p=0.042). DQOL scale scores were significantly lower in patients with diabetes-related complications compared to those without diabetes-related complications (p=0,002). Conclusion As the motivation level for medication adherence increased, anxiety about diabetes decreased. Participant’s medication adherence, motivation and knowledge levels were high. Follow-ups of diabetic patients in primary care will help to improve their medication adherence and the quality of life. Keywords: Diabetes mellitus, Quality of life, Medication adherence, Family medicine