Determinants of glycemic status monitoring in black and white Medicaid beneficiaries with diabetes mellitus
Determinants of glycemic status monitoring in black and white Medicaid beneficiaries with diabetes mellitus
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DOI：
10.1353/hpu.2005.0128
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发表时间：
2005-11-01
影响因子：
1.4
通讯作者：
Jones, A
中科院分区：
文献类型：
--
作者：
Mayberry, R;Davis, T;Jones, A
在定期安排的医生办公室就诊期间，对血糖状态的常规监测没有按照大多数糖尿病患者的推荐指南进行。我们进行了这项调查，以确定在1996年和1997年被诊断患有2型糖尿病的黑人和白人成年医疗补助受益人在初级保健办公室访问期间血糖状况监测的决定因素，并分别跟踪调查到1997年和1998年的12个月(N=3,321)。多因素Logistic回归分析表明，接受美国糖尿病协会(ADA)推荐的两次或两次以上HbA1c测试的糖尿病患者，在首次诊断后一年内就诊10次或以上的患者，接受HbA1c测试的可能性是那些只就诊一次的患者的两倍以上(相对风险(RR)=2.31，95%可信区间(CI)=1.51-3.51)。强调患者-初级提供者关系和更好的护理协调的质量改进努力将提高对糖尿病护理标准的遵守。
Routine monitoring of glycemic status during regularly scheduled physician office visits is not performed according to recommended guidelines for most people with diabetes. We conducted this investigation to identify the determinants of glycemic status monitoring during primary care office visits among Black and White adult Medicaid beneficiaries diagnosed with type 2 diabetes in 1996 and 1997 and followed for a 12-month period through year 1997 and year 1998, respectively (N=3,321). Multivariate logistic regression analyses indicated that the likelihood of receiving the American Diabetes Association (ADA) recommended 2 or more HbA1c tests was more than 2 times greater for persons with diabetes who had 10 or more visits than for those with only one visit in the one-year period since initial diagnosis (relative risk (RR) = 2.31,95% confidence interval (CI) = 1.51-3.51). Quality improvement efforts that emphasize the patient-primary provider relationship and better coordination of care will improve adherence to diabetes care standards.