Powered by: Blackwell Publishing

HRET - Health Research & Educational Trust

HSR - Health Services Research

Impacting Health Practice and Policy Through State-of-the-Art Research and Thinking

Our Next Issue

December 2018
Coming Soon! Read



Assessing Diabetes Care Disparities with Ambulatory Care Quality Measures

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

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.

back to top | back to article index | access/purchase full article

Copyright© 2018, Health Research & Educational Trust. All rights reserved. Content Disclaimer
Health Research & Educational Trust, 155 North Wacker, 4th Floor Chicago, IL 60606 (312) 422.2600