Ethnic disparities in diabetes management: a 10-year population-based repeated cross-sectional study in UK primary care.
Background: There has been little research on the impact of quality improvement initiatives on ethnic disparities in diabetes management in the UK. Methods: Population-based, repeated cross-sectional survey of recorded measurements, prescribing and achievement of treatment targets among 4309 patient...
| Publicado en: | Journal of Public Health Vol. 32; no. 2; pp. 250 - 259 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jun2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105213865&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105213865 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Jun2010 vid: 32 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 105213865 105213865 2010670500 10.1093/pubmed/fdp114 NLM20064875 105213865 ppf: 250 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Ethnic disparities in diabetes management: a 10-year population-based repeated cross-sectional study in UK primary care. aug: au: Verma A Birger R Bhatt H Murray J Millett C Saxena S Banarsee R Gnani S Majeed A affil: Department of Primary Care and Social Medicine , Imperial College Faculty of Medicine , 3rd floor Reynolds Building, St Dunstan's Road, London W6 8RP , UK sug: subj: Diabetes Mellitus Therapy Ethnic Groups Evaluation Primary Health Care United Kingdom Adult Aged Aged, 80 and Over Asians Black Persons Blood Pressure Cholesterol Electronic Health Records Confidence Intervals Cross Sectional Studies Female Funding Source Glycated Hemoglobin Human Male Middle Age Odds Ratio Prescriptive Authority United Kingdom White Persons Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Background: There has been little research on the impact of quality improvement initiatives on ethnic disparities in diabetes management in the UK. Methods: Population-based, repeated cross-sectional survey of recorded measurements, prescribing and achievement of treatment targets among 4309 patients with diabetes mellitus using electronic medical records from 26 general practices in North-West London from 1997 to 2006. Results: Proportions of patients having their blood pressure (BP), cholesterol and HbA1c measured and recorded increased over the study period [from 50.6% to 87.0% (P < 0.0001), 17.0% to 76.7% (P < 0.0001) and 32.9% to 74.1% (P < 0.0001), respectively]. However, some ethnic differences remained. Black patients with diabetes were less likely to achieve target BP (< 140/80 mmHg) than the white group [2006 age-sex adjusted odds ratio (AOR), 0.65; 95% confidence interval (CI), 0.51-0.83]. South Asians were found to have better lipid target control (2006 AOR, 1.57; CI, 1.23-2.00), were more likely to receive oral hypoglycaemic agents (2006 AOR, 2.27; CI, 1.79-2.86) but less likely to receive insulin (2006 AOR, 0.54; CI, 0.42-0.69) than the white group. Conclusions: Although ethnic disparities persist in diabetes management in this study population, these are starting to be addressed, particularly in the South Asian group. All ethnic groups have benefited from recent quality initiatives in the UK. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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