Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
CME
Outcomes
Research
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
 
JCOM
BACK ISSUE articles are $15 each.
 
International credit cards NOT accepted.



JCOM Paid Subscribers
LOG IN
user name:
password:
 
Forgot password?

JCOM Abstract


J Clin Outcomes Manage 
2008 Jun;15(6):281-286
Evaluation of quality of diabetes care in a multiethnic, low-income population
Kirk JK, Bertoni AG, Grzywacz JG, Smith A, Arcury TA

Abstract: Objective: To evaluate glycemic and risk factor control for a cohort of patients with diabetes over a 1-year period and to determine the proportion of patients meeting clinical practice guideline treatment goals. Design: Retrospective, cross-sectional cohort study. Setting and participants: Primarily low-income persons with type 2 diabetes served by a rural community health clinic in North Carolina during 2006. Measures: Attainment of treatment goals related to glycated hemoglobin A1c (HbA1c), blood pressure, and lipid control. Descriptive statistics were applied to demographic variables. Mean differences in outcomes were assessed and multivariate logistic regression models were applied. Results: There were several differences in diabetes care indicators by ethnicity. Mean HbA1c levels and rates of HbA1c greater than 8% were higher among Hispanics compared with African Americans and non-Hispanic whites. African Americans were more likely than Hispanics or non-Hispanic whites to achieve a triglyceride level less than 150 mg/dL. Hispanics had a lower mean systolic blood pressure and were more likely to achieve the blood pressure target less than 130/80 mm Hg compared with African Americans or non-Hispanic whites. There were no differences by ethnicity in the simultaneous control of HbA1c, blood pressure, and low-density lipoprotein cholesterol. Conclusion: In this chart review, there was a significant disparity in HbA1c and total cholesterol levels achieved for Hispanics as compared with non-Hispanic whites and African Americans. In comparison with national data, however, Greene County Health Care is doing a comparable job meeting diabetes goals for HbA1c, blood pressure, and lipid levels and in some instances is achieving better outcomes despite predominantly low-income clients. Further evaluation is warranted to determine strategies that can help Hispanics meet diabetes goals.

Original Research

Search the Turner White index to find abstracts of articles published in JCOM.





New issues are posted one month following publication of the printed journal.



View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999



Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2014, Turner White Communications
Updated 1/20/14 • jdw