Quality of diabetes care in community health centers
- 1 March 2000
- journal article
- conference paper
- Published by American Public Health Association in American Journal of Public Health
- Vol. 90 (3) , 431-434
- https://doi.org/10.2105/ajph.90.3.431
Abstract
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.This publication has 32 references indexed in Scilit:
- Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33)The Lancet, 1998
- Evidence-based disease managementJAMA, 1997
- Continuous quality improvement can improve glycemic control for HMO patients with diabetesArchives of Family Medicine, 1996
- Assessment of documented foot examinations for patients with diabetes in inner-city primary care clinicsArchives of Family Medicine, 1995
- Physicians' Practices in Screening for the Development of Diabetic Nephropathy and the Use of Glycosylated Hemoglobin LevelsDiabetes Care, 1994
- Community Diabetes Care: A 10-year PerspectiveDiabetes Care, 1994
- Assessment of Diabetes Care by Medical Record Review: The Indian Health Service ModelDiabetes Care, 1994
- Interventions Among Primary-Care Practitioners to Improve Care for Preventable Complications of DiabetesDiabetes Care, 1988
- The Hierarchical Logistic Regression Model for Multilevel AnalysisJournal of the American Statistical Association, 1985
- The Hierarchical Logistic Regression Model for Multilevel AnalysisJournal of the American Statistical Association, 1985