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Published on: June 11, 2012
Quality of diabetes care in community health centers
M H Chin1, S B Auerbach, S Cook
1Department of Medicine and Health Studies, University of Chicago, Ill. 60637, USA. mchin@medicine.bsd.uchicago.edu
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.
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