Adequacy of glycemic, lipid, and blood pressure management for patients with diabetes in a managed care suing
Adequacy of glycemic, lipid, and blood pressure management for patients with diabetes in a managed care suing
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DOI：
10.2337/diacare.27.3.694
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发表时间：
2004-03-01
期刊：
影响因子：
16.2
通讯作者：
Alexander, CM
中科院分区：
文献类型：
--
作者：
Beaton, SJ;Nag, SS;Alexander, CM
目的-我们进行了一项回顾性研究，以评估血糖，血脂和血压（BP）管理的糖尿病患者在管理式护理组织（MCO）。研究设计和方法-患者年龄大于或等于18岁的糖尿病（n = 7，114）在2-根据2000年健康计划雇主数据和信息集的选择标准，使用药房、实验室和就诊数据，从MCO的行政数据库中提取一年时间。分析研究了人口统计学和百分比的患者测试和满足美国糖尿病协会的HbA，血脂和BP的目标，无论是整体和那些接受药物治疗与无treatment.RESULTS-AlC，LDL胆固醇和BP的测试率分别为77，54和95%，分别。接受测试的患者达到目标的百分比为AlC为37%，LDL胆固醇为23%，收缩压为41%。在我们的样本中，72%的患者接受了血糖控制治疗，64%的患者接受了血压控制治疗，只有28%的患者接受了血脂控制治疗。接受药物治疗的患者中，不到三分之一的目标是AlC（29%）和LDL胆固醇（32%），而40%的目标是收缩压。结论-我们发现，虽然有很大比例的糖尿病患者进行了测试AlC，LDL胆固醇和收缩压，一个小得多的百分比达到了各自的目标。需要更积极的血糖、血脂和血压管理来改善这些患者的护理。
OBJECTIVE- We conducted a retrospective study to evaluate the adequacy of glycemic, lipid, and blood pressure (BP) management for diabetic patients in a managed care organization (MCO).RESEARCH DESIGN AND METHODS- Patients aged greater than or equal to18 years with diabetes (n = 7,114) were retrospectively identified over a 2-year period from the MCO's administrative database based on the Health Plan Employer Data and Information Set 2000 selection criteria using pharmacy, laboratory, and encounter data. Analyses examined demographics and percentages of patients tested and meeting American Diabetes Association goals for HbA, lipids, and BP, both overall and for those receiving medication treatment versus no treatment.RESULTS- Testing rates for AlC, LDL cholesterol, and BP were 77, 54, and 95%, respectively. The percentage of patients tested who were at goal were 37% for AlC, 23% for LDL cholesterol, and 41 % for systolic BP. Of the patients in our sample, 72% were treated for glycemic control, 64% were treated for BP control, and only 28% were treated for lipid control. Of the patients who received medication treatment, less than one-third were at goal for AlC (29%) and LDL cholesterol (32%), whereas 40% were at goal for systolic BP.CONCLUSIONS- We found that although a large percentage of diabetic patients were tested for AlC, LDL cholesterol, and systolic BP, a much smaller percentage had reached their respective goals. More aggressive glycemic, lipid, and BP management appears to be needed to improve care for these patients.