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Measuring the quality of diabetes care for older american indians and alaska natives

TitleMeasuring the quality of diabetes care for older american indians and alaska natives
Publication TypeJournal Article
Year of Publication2004
AuthorsRoubideaux, Y, Buchwald, D, Beals, J, Middlebrook, D, Manson, S, Muneta, B, Rith-Najarian, S, Shields, R, Acton, K
JournalAm J Public HealthAm J Public Health
Date PublishedJan
ISBN Number0090-0036 (Print)<br/>0090-0036 (Linking)
Accession Number14713699
KeywordsAdult, Age Factors, Aged, Alaska, Cross-Sectional Studies, Diabetes Mellitus, Type 2/complications/prevention & control/ therapy, Female, Health Services for the Aged/ standards, Humans, Indians, North American, Inuits, Male, Middle Aged, Preventive Health Services/ standards/utilization, Quality Indicators, Health Care, Quality of Health Care/ classification/statistics & numerical data, Retrospective Studies, United States, United States Indian Health Service/ standards
AbstractOBJECTIVES: This study evaluated the quality of diabetes care for older American Indians and Alaska Natives. METHODS: We analyzed the Indian Health Service Diabetes Care and Outcomes Audit to determine whether completion of indicators of diabetes care differed as a function of age and whether additional patient and program factors were also associated with completion of the majority of the indicators. RESULTS: Completion rates varied by age group, with significantly lower rates seen among the youngest and oldest. Patient diabetes education and duration of diabetes were most strongly associated with the completion of the majority of these indicators. CONCLUSIONS: Further studies are needed to determine effective interventions, including diabetes education, to improve the quality of diabetes care in the youngest and oldest age groups.
Ethno Med: