American Journal of Public Health · 2000 · 138 citations · 25 references
Public AffairsCommunity HealthDiabetic Foot CareHealth Care Quality ManagementHealthcare Quality ImprovementCommunity-based CareDiabetes ManagementDiabetes MellitusGlycemic ControlHealth Care QualityQuality Of CareAdherence In Diabetes ManagementAdherence To Diabetes MedicationsClinical Practice Guidelines ImplementationDiabetes Care Quality ImprovementDiabetes Mellitus AssessmentDiabetes Treatment AdherenceQuality Of Care Metrics
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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