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Assessing Diabetes Care Disparities with Ambulatory Care Quality Measures
Jennifer M Joseph1,2, Pamela Jo Johnson3,4, Douglas R Wholey5
1School of Public Health, Division of Health Policy & Management, University of Minnesota, 420 Delaware St. SE, MMC 729, Minneapolis, MN, 55455.
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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