scholarly journals Quality of Diabetes Care in the United States Between 1988 and 1995

2003 ◽  
Vol 21 (1) ◽  
pp. 43-45
Author(s):  
M. Tulloch-Reid ◽  
D. E. Williams
2019 ◽  
Vol 10 (4) ◽  
pp. 17
Author(s):  
Shweta Kamat ◽  
Yolene Gousse ◽  
Jagannath Muzumdar ◽  
Anna Gu

Objectives: To examine trends and disparities in the quality of diabetes care among US adults with diabetes. Methods: Individuals aged 20 years or older with diabetes from NHANES (1999-2016) were included in the study. Quality indicators for diabetes care included Hemoglobin A1c (HbA1c) < 8%, Blood Pressure (BP) < 130/80 mm Hg, Low-Density Lipoprotein (LDL-C) < 100 mg/dL, triglycerides < 150 mg/dL, receiving eye and foot examinations in the past year, and meeting with a diabetes educator in the past year. Results: A total of 7,521 adults with diabetes were identified. During the 18-year study period, significant improvements in diabetes care were observed in the overall study sample. Adjusted regression analyses showed that compared with their White counterparts, Blacks were more likely to have received eye (OR=1.37; P=0.01) and foot (OR=1.42;P=0.01) examinations and met a diabetes educator (OR=1.40;P<0.01) over the past year. However, Blacks were significantly less likely to achieve treatment goals for HbA1c (OR=0.77, P=0.02), BP (OR=0.75, P<0.01), LDL-C (OR=0.68, P<0.01). Hispanics in general had suboptimal healthcare utilization for diabetes but the Hispanic-white disparities in diabetes care outcomes were attenuated after controlling for patient sociodemographic, clinical and utilization characteristics. Overall, suboptimal quality of diabetes care were particularly prominent among adults without health insurance and those with lower educational attainment. Conclusions: In the United States, despite persistent efforts, racial disparities in quality of diabetes care still persist. Lack of health insurance and lower socioeconomic status are among the strongest predictors of poor quality of diabetes care. These findings provide valuable information in developing policies and practices to promote racial equity in diabetes care.    Article Type: Original Research


2019 ◽  
Vol 45 (2) ◽  
pp. 214-224 ◽  
Author(s):  
Samereh Abdoli ◽  
Danielle Hessler Jones ◽  
Amit Vora ◽  
Heather Stuckey

Purpose The purpose of this study was to explore and understand the experience of diabetes burnout among people with diabetes (PWD). Methods A qualitative descriptive analysis of 35 blog narratives published in 21 diabetes blogs from the United States, United Kingdom, and Ireland, written by PWD, provided the basis for this study’s definition of diabetes burnout. Data management (Nvivo 11 Pro) and analysis included 3 phases: immersion, reduction, and interpretation (kappa = 0.91). Results Findings included 5 main themes that described diabetes burnout: (1) burnout is a “detachment” from diabetes care, (2) the “demanding life” of diabetes leads to burnout, (3) struggling with “perfect” numbers adds to burnout, (4) “life events” are catalysts to burnout, and (5) overcoming burnout is like “climbing out of a difficult hole.” Conclusions Analysis of blog narratives provided unique insights into the concept of diabetes burnout. Five themes were identified that ranged from diabetes care detachment to difficulties in overcoming diabetes. These data provide an increased understanding of diabetes burnout and the factors that may contribute to diabetes burnout. To advance the science of diabetes burnout and to improve person-centered diabetes care and quality of life for PWD, further research is needed.


2010 ◽  
Vol 28 (3) ◽  
pp. 207-213 ◽  
Author(s):  
Beatriz A. Díaz-Apodaca ◽  
Federico G. de Cosío ◽  
Jaume Canela-Soler ◽  
Rosalba Ruiz-Holguín ◽  
Maria Teresa Cerqueira

2020 ◽  
Vol 9 (6) ◽  
pp. 469-474
Author(s):  
John Idso ◽  
Grzegorz Telega ◽  
Dąbrowski Mariusz ◽  
Steven B. Magill ◽  
Srividya Kidambi

2010 ◽  
Vol 40 (14) ◽  
pp. 58-59
Author(s):  
MICHELE G. SULLIVAN

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