Assessing Diabetes Care Disparities with Ambulatory Care Quality Measures.
Health Serv Res
; 50(4): 1250-64, 2015 Aug.
Article
en En
| MEDLINE
| ID: mdl-25523494
ABSTRACT
OBJECTIVE:
To identify and describe racial/ethnic disparities in overall diabetes management. DATA SOURCE/STUDYSETTING:
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). STUDYDESIGN:
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. PRINCIPALFINDINGS:
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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
11_ODS3_cobertura_universal
/
1_ASSA2030
/
2_ODS3
Problema de salud:
11_delivery_arrangements
/
11_multisectoral_coordination
/
1_acesso_equitativo_servicos
/
1_sistemas_informacao_saude
/
2_cobertura_universal
Asunto principal:
Etnicidad
/
Grupos Raciales
/
Diabetes Mellitus
/
Atención Ambulatoria
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Health Serv Res
Año:
2015
Tipo del documento:
Article