Cultural Competency Training and Performance Reports to Improve Diabetes Care for Black Patients A Cluster Randomized, Controlled Trial
Cultural Competency Training and Performance Reports to Improve Diabetes Care for Black Patients A Cluster Randomized, Controlled Trial
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DOI：
10.7326/0003-4819-152-1-201001050-00009
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发表时间：
2010-01-05
影响因子：
39.2
通讯作者：
Ayanian, John Z.
中科院分区：
文献类型：
--
作者：
Sequist, Thomas D.;Fitzmaurice, Garrett M.;Ayanian, John Z.
Background: Increasing clinician awareness of racial disparities and improving communication may enhance diabetes care among black patients.Objective: To evaluate the effect of cultural competency training and performance feedback for primary care clinicians on diabetes care for black patients.Design: Cluster randomized, controlled trial conducted between June 2007 and May 2008. (ClinicalTrials.gov registration number: NCT00436176)Setting: 8 ambulatory health centers in eastern Massachusetts.Participants: 124 primary care clinicians caring for 2699 (36%) black and 4858 (64%) white diabetic patients.Intervention: Intervention clinicians received cultural competency training and monthly race-stratified performance reports that highlighted racial differences in control of hemoglobin A(1c) (HbA(1c)) and low-density lipoprotein (LDL) cholesterol levels and blood pressure.Measurements: Clinician awareness of racial differences in diabetes care and rates of achieving clinical control targets among black patients at 12 months.Results: White and black patients differed significantly in baseline rates of achieving an HbA(1c) level less than 7% (46% vs. 40%), an LDL cholesterol level less than 2.59 mmol/L (
