Titre : | Quality of Diabetes care in community health centers. (2000) |
Auteurs : | M.H. CHIN ; S.B. AUERBACH ; S.C. CHIU ; S. COOK ; N. EGBERT ; A.G. HARRAND ; J.F. HARRISON ; T.G. KARRISON ; J. KOPPERT ; LEI JIN . (.) ; W.L. MCNABB ; C.T. SCHAEFER ; H.T. TAKASHIMA ; F. THIEL ; Departments of Medicine and Health Studies. Diabetes Research and Training Center. University of Chicago. IL. USA ; Health Resources and Services Administration Field Offices. Chicago. IL. USA ; Health Resources and Services Administration Field Offices. Kansas City. MO. USA ; Health Resources and Services Administration Field Offices. New York. NY. USA |
Type de document : | Article |
Dans : | American journal of public health (vol. 90, n° 3, 2000) |
Pagination : | 431-434 |
Langues: | Anglais |
Mots-clés : | Diabète ; Qualité ; Soins ; Evaluation ; Homme ; Etats Unis ; Amérique ; Système santé ; Glande endocrine [pathologie] ; Amérique du Nord |
Résumé : | [BDSP. Notice produite par INIST TvR0x3vS. Diffusion soumise à autorisation]. Objectives. The 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 Amertean 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. Races of adherence to process measures of quality were rellitively low among community health centers, compared with the targets established by the American Diabetes Assisciation. |