Adherence to American diabetes association standards of care by rural health care providers
Adherence to American diabetes association standards of care by rural health care providers
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DOI：
10.2337/diacare.25.12.2224
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发表时间：
2002-12-01
期刊：
影响因子：
16.2
通讯作者：
Zulkowski, K
中科院分区：
文献类型：
--
作者：
Coon, P;Zulkowski, K
目的-以确定农村医疗保健提供者是否符合美国糖尿病协会（ADA）的血糖，血压，血脂管理和预防service.Research设计和方法的临床实践指南-这项研究是使用回顾性图表审查399例45岁及以上，在1999年1月1日至2000年8月1日期间，在蒙大拿州的四个农村卫生机构进行了糖尿病初级保健的明确诊断。结果-Glycoprotein检测是充分的（85%），血糖控制（HbA（1c）7.43 ± 1.7%）高于全国平均水平。高血压和血脂异常的共病状况没有得到很好的管理。平均收缩压（SBP）为139 ± 18.8 mmHg，LDL为119 ± 33 mg/dl。在399例患者中，根据ADA HbA（1c）水平指南，11例患者被认为不需要额外治疗
OBJECTIVE - To determine whether rural health care providers are compliant with American Diabetes Association (ADA) clinical practice guidelines for glycemic, blood pressure, lipid management, and preventative services.RESEARCH DESIGN AND METHODS - This study was performed using a retrospective chart review of 399 patients 45 years of age and older, with a definitive diagnosis of diabetes seen for primary diabetes care at four rural health facilities in Montana between 1 January 1999 and 1 August 2000.RESULTS - Glycemic testing was adequate (85%), and glycemic control (HbA(1c) 7.43 +/- 1.7%) was above the national average. Comorbid conditions of hypertension and dyslipidemia were not as well managed. Mean systolic blood pressure (SBP) was 139 +/- 18.8 mmHg and LDL was 119 +/- 33 mg/dl. Of 399 patients, 11 were considered as needing no additional treatment based on ADA guidelines of an HbA(1c) level