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The Diabetes Educator
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An Initiative to Improve Diabetes Care Standards in Healthcare Organizations Serving Minorities

Akiko S. Hosler, PhD

Bureau of Chronic Disease Epidemiology and Surveillance, New York State Department of Health, 565 Corning Tower, ESP, Albany, NY 12237-0679' ash05{at}health.state.ny.us

Kathryn Godley, MS, RN, CDE

Department of Endocrinology, Albany Medical College, Albany, New York

Daniel H. Rowland, MA

Early Intervention Program

PURPOSE

this study was designed to assess changes of diabetes care standards in healthcare organizations that participated in 2-year initiative to improve diabetes care and expand outreach in minority communities.

METHODS

An independent sample of the medical records of adults with type 2 diabetes was randomly drawn at 3 points of time (N=829). Rates of compliance with 20 selected measures of standards of basic diabetes care were measured and compared over time.

RESULTS

Significant improvements in compliance rates from baseline to the end point were found in 11 measures including annual hemoglobin A1 C testing (65.8% to 76.3%), annual lipid profile (33.8% to 49.1%), and biannual lower extremity examination (40.0% to 56.3%).

CONCLUSIONS

Improvements in diabetes care were credited with giving providers feedback on their compliance and increasing support of patient self-care, especially through tailoring outreach and services to minorities.

The Diabetes Educator, Vol. 28, No. 4, 581-589 (2002)
DOI: 10.1177/014572170202800412
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This article has been cited by other articles:


Home page
 Med Care Res RevHome page
M. E. Peek, A. Cargill, and E. S. Huang
Diabetes Health Disparities: A Systematic Review of Health Care Interventions
Med Care Res Rev, October 1, 2007; 64(5_suppl): 101S - 156S.
[Abstract] [PDF]


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