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American Journal of Public Health, Vol 90, Issue 3 431-434, Copyright © 2000 by American Public Health Association
JOURNAL ARTICLE |
Quality of diabetes care in community health centers
MH Chin, SB Auerbach, S Cook, JF Harrison, J Koppert, L Jin, F Thiel, TG Karrison, AG Harrand, CT Schaefer, HT Takashima, N Egbert, SC Chiu and WL McNabb
Department of Medicine and Health Studies, University of Chicago, Ill. 60637, USA. mchin@medicine.bsd.uchicago.edu
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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