Quality of diabetes care in community health centers |
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Authors: | Chin M H Auerbach S B Cook S Harrison J F Koppert J Jin L Thiel F Karrison T G Harrand A G Schaefer C T Takashima H T Egbert N Chiu S C McNabb W L |
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Affiliation: | Department of Medicine and Health Studies, University of Chicago, Ill. 60637, USA. mchin@medicine.bsd.uchicago.edu |
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Abstract: | 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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