Racial disparities persist in diabetes care outcomes

Racial disparities persist in diabetes care outcomes

(HealthDay)—Black patients do not receive the same quality of care, and experience poorer intermediate outcomes in the practice setting of a patient-centered medical home (PCMH), according to research published online Nov. 19 in Diabetes Care.

In an effort to assess racial differences in processes of care and intermediate outcomes for diabetes, Joseph A. Simonetti, M.D., of the University of Washington in Seattle, and colleagues retrospectively analyzed data for 1,457 adults receiving care within a PCMH-designated academic practice.

The researchers found that, compared with non-Hispanic white patients, more had a hemoglobin A1C greater than 9 percent, and fewer black patients achieved a hemoglobin A1C less than 7 percent, low-density lipoprotein (LDL) cholesterol less than 100 mg/dL, or less than 140/90 mm Hg (P < 0.05 for all comparisons). According to multivariable analysis, black patients were less likely to receive hemoglobin A1C testing (odds ratio [OR], 0.57) or influenza vaccination (OR, 0.75) and also less likely to achieve LDL cholesterol less than 100 mg/dL (OR, 0.74) or blood pressure less than 140/90 mm Hg (OR, 0.64).

"In summary, despite the implementation of a highly innovative PCMH, we observed in both processes of care and intermediate outcomes for patients with diabetes," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Italian study shows gender disparity in diabetes care

Aug 08, 2013

(HealthDay)—Compared to Italian men, women in Italy receive a poorer quality of diabetes care, and although difficulty attaining an ideal low-density lipoprotein cholesterol (LDL-C) level appears to be ...

Cinnamon cuts blood glucose levels in diabetes patients

Sep 16, 2013

(HealthDay)—Consumption of cinnamon is associated with favorable reductions in plasma glucose and lipid levels, according to research published in the September/October issue of the Annals of Family Me ...

Daily text messages improve diabetes outcomes

Nov 22, 2013

(HealthDay)—Patients with poorly controlled diabetes have improvements in hemoglobin A1c and medication adherence and fewer trips to the emergency room after receiving daily text messages, according to ...

Room for improvement in knowledge of ABC levels, goals

Apr 19, 2012

(HealthDay) -- Many individuals with diabetes do not know their last hemoglobin A1C (A1C), blood pressure, and low-density lipoprotein (LDL) cholesterol levels (ABC levels), although the correlation between ...

Health-care model improves diabetes outcomes, health

Jul 13, 2011

(Medical Xpress) -- A health-care delivery model called patient-centered medical home (PCMH) increased the percentage of diabetes patients who achieved goals that reduced their sickness and death rates, according to health ...

Recommended for you

Blood glucose levels set for achieving HbA1c targets

Apr 11, 2014

(HealthDay)—The average self-monitored blood glucose (SMBG) concentrations needed at premeal, postmeal, and bedtime have been established to achieve a range of hemoglobin A1c (HbA1c) targets, according ...

Women with diabetes less likely to have a mammogram

Apr 11, 2014

Women with diabetes are 14 per cent less likely to be screened for breast cancer compared to women without diabetes, according to a study by researchers at the Institute for Clinical Evaluative Sciences (ICES) and Women's ...

Nonalcoholic fatty liver disease linked to CKD in T1DM

Apr 09, 2014

(HealthDay)—For patients with type 1 diabetes, nonalcoholic fatty liver disease (NAFLD) is independently associated with the risk of incident chronic kidney disease (CKD), according to a study published ...

User comments