Relation between the level of American Indian and Alaska Native diabetes education program services and quality-of-care indicators.
OBJECTIVES: We examined the relation between the level of diabetes education program services in the Indian Health Service (IHS) and indicators of the quality of diabetes care to determine if more-comprehensive diabetes services were associated with better quality of diabetes care. METHODS: In this...
| Publicado en: | American Journal of Public Health Vol. 98; no. 11; pp. 2079 - 2085 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Public Health Association
Nov2008
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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=105575544&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105575544 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Nov2008 vid: 98 iid: 11 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 105575544 35119167 2010102497 10.2105/AJPH.2007.110478 NLM18511737 105575544 ppf: 2079 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Relation between the level of American Indian and Alaska Native diabetes education program services and quality-of-care indicators. aug: au: Roubideaux Y Noonan C Goldberg JH Valdez SL Brown TL Manson SM Acton K affil: Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, AZ 85716, USA; yvetter@u.arizona.edu sug: subj: Diabetes Education Utilization Diabetes Mellitus Prevention and Control Diabetes Mellitus Therapy Health Services, Indigenous Standards Quality of Health Care Adult Aged Alaska Blood Pressure Determination Clinical Indicators Utilization Comparative Studies Confidence Intervals Correlational Studies Cross Sectional Studies Descriptive Statistics Arctic Peoples Alaska Female Funding Source Health Screening Methods Glycated Hemoglobin Analysis Lipids Blood Logistic Regression Middle Age Native Americans Alaska Odds Ratio Patient Education Program Evaluation Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female ab: OBJECTIVES: We examined the relation between the level of diabetes education program services in the Indian Health Service (IHS) and indicators of the quality of diabetes care to determine if more-comprehensive diabetes services were associated with better quality of diabetes care. METHODS: In this cross-sectional study, we used the IHS Integrated Diabetes Education Recognition Program to rank program services into 1 of 3 levels of comprehensiveness, ranging from lowest (developmental) to highest (integrated). We compared quality-of-care indicators among programs of differing levels with the 2001 IHS Diabetes Care and Outcomes Audit. Quality indicators included patients having recommended yearly examinations, education, and laboratory tests and achieving recommended levels of intermediate outcomes of care. RESULTS: Most of the 86 participating programs were classified at or below the developmental level; only 9 programs (11%) were ranked at higher levels. After adjusting for patient characteristics, program factors, and correlation of patients within programs, we associated programs that were more comprehensive with higher completion rates of yearly lipid and hemoglobin A1C tests (P < .05). CONCLUSIONS: System-wide improvements in diabetes education are associated with better diabetes care. The results can help inform the development of diabetes education programs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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