OBJECTIVES: This study assessed the quality of diabetes care in community health centers. METHODS: In 55 midwestern community health centers, we reviewed the charts of 2865 diabetic adults for American Diabetes Association measures of quality. RESULTS: On average, 70% of the patients in each community health center had measurements of glycosylated hemoglobin, 26% had dilated eye examinations, 66% had diet intervention, and 51% received foot care. The average glycosylated hemoglobin value per community health center was 8.6%. Practice guidelines were independently associated with higher quality of care. CONCLUSIONS: Rates of adherence to process measures of quality were relatively low among community health centers, compared with the targets established by the American Diabetes Association.
OBJECTIVES: This study assessed the quality of diabetes care in community health centers. METHODS: In 55 midwestern community health centers, we reviewed the charts of 2865 diabetic adults for American Diabetes Association measures of quality. RESULTS: On average, 70% of the patients in each community health center had measurements of glycosylated hemoglobin, 26% had dilated eye examinations, 66% had diet intervention, and 51% received foot care. The average glycosylated hemoglobin value per community health center was 8.6%. Practice guidelines were independently associated with higher quality of care. CONCLUSIONS: Rates of adherence to process measures of quality were relatively low among community health centers, compared with the targets established by the American Diabetes Association.
Authors: J A Mayfield; S J Rith-Najarian; K J Acton; C D Schraer; R M Stahn; M H Johnson; D Gohdes Journal: Diabetes Care Date: 1994-08 Impact factor: 19.112
Authors: Leiyu Shi; Lydie A Lebrun; Jinsheng Zhu; Arthur S Hayashi; Ravi Sharma; Charles A Daly; Alek Sripipatana; Quyen Ngo-Metzger Journal: Health Serv Res Date: 2012-05-17 Impact factor: 3.402
Authors: Yuhua Bao; Thomas G McGuire; Ya-Fen Chan; Ashley A Eggman; Andrew M Ryan; Martha L Bruce; Harold Alan Pincus; Erin Hafer; Jürgen Unützer Journal: Am J Manag Care Date: 2017-01 Impact factor: 2.229
Authors: T Alafia Samuels; Shari Bolen; H C Yeh; Marcela Abuid; Spyridon S Marinopoulos; Jonathan P Weiner; Maura McGuire; Frederick L Brancati Journal: J Gen Intern Med Date: 2008-09-12 Impact factor: 5.128
Authors: George Rust; Morna Gailor; Elvan Daniels; Barbara McMillan-Persaud; Harry Strothers; Robert Mayberry Journal: Int J Health Care Qual Assur Date: 2008