Literature DB >> 25523494

Assessing Diabetes Care Disparities with Ambulatory Care Quality Measures.

Jennifer M Joseph1,2, Pamela Jo Johnson3,4, Douglas R Wholey5, Mary L Frederick6.   

Abstract

OBJECTIVE: To identify and describe racial/ethnic disparities in overall diabetes management. DATA SOURCE/STUDY
SETTING: Electronic health record data from calendar year 2010 were obtained from all primary care clinics at one large health system in Minnesota (n = 22,633). STUDY
DESIGN: We used multivariate logistic regression to estimate the odds of achieving the following diabetes management goals: A1C <8 percent, LDL cholesterol <100 mg/dl, blood pressure <140/90 mmHg, tobacco-free, and daily aspirin. PRINCIPAL
FINDINGS: Blacks and American Indians have higher odds of not achieving all goals compared to whites. Disparities in specific goals were also found.
CONCLUSIONS: Although this health system has above-average diabetes care quality, significant disparities by race/ethnicity were identified. This underscores the importance of stratifying quality measures to improve care and outcomes for all. © Health Research and Educational Trust.

Entities:  

Keywords:  Diabetes; cardiovascular risk factors; composite quality measures; minority health; racial/ethnic disparities

Mesh:

Substances:

Year:  2014        PMID: 25523494      PMCID: PMC4545357          DOI: 10.1111/1475-6773.12277

Source DB:  PubMed          Journal:  Health Serv Res        ISSN: 0017-9124            Impact factor:   3.402


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