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VOLUME 50 | NUMBER 4 | AUGUST 2015


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.

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