Glycemic Control in Diabetic Patients Served by Community Health Centers

  title={Glycemic Control in Diabetic Patients Served by Community Health Centers},
  author={Neil A. Maizlish and Beryl Shaw and Khati Hendry},
  journal={American Journal of Medical Quality},
  pages={172 - 179}
The Community Health Center Network measured the prevalence of glycemic control in diabetic patients at 7 community health centers as part of its clinical quality improvement program. A cross-sectional survey was carried out in a random sample of 1817 diabetic patients having 1 or more encounters from October 1, 2000 to September 30, 2001. Computerized laboratory results for hemoglobin A1c (HbA1c) tests were available for half the sample. Manual review of medical charts was carried out for the… 
Diabetic Profile- Screening of HBA1C - A Random Community Assessment.
The hypoglycaemic episodes were high, but the patients with such episodes had a higher mean HbA1C, which could be possible as patients consumed sweet and sugar with such events and had higher mean glucose values.
Level of Glycemic Control in Diabetic Patients Reffering to Zahedan Dental School (Iran) in 2005
Diabetic dental patients glycemic status may not be controlled at a desired level and dentists have to change dental treatment plan accordingly, thus attention should be paid to the glycemic control in diabetic dental patients before any procedure.
Quality of diabetes care for underserved patients with and without mental illness: site of care matters.
In this safety-net setting, site of care appeared to be more important than mental illness diagnosis as a determinant of quality of diabetes care.
Higher body mass index and lower intake of dairy products predict poor glycaemic control among Type 2 Diabetes patients in Malaysia
While perceived self-care barriers and diet quality failed to predict HbA1c, good knowledge and skill ability, together with appropriate BMI and adequate intake of dairy products should be emphasized to optimize glycaemic control among type 2 diabetes patients.
Race Differences in Long-Term Diabetes Management in an HMO
Future interventions should target normalization of A1C by identifying potential psychosocial barriers to therapy intensification among patients and clinicians and development of culturally appropriate interventions to aid patients in successful self-management.
Self-care Assessment in Patients with Diabetes in Qom city in 2013
Diabetic Patients lacked a desirable self-care condition in such a manner that patients didn’t take care ofSelf-care activities including: having a diet, doing enough physical activity, controlling blood sugar, taking care of their feet, and also consuming drugs or injecting insulin, completely and regularly.
Racial/Ethnic Differences in Clinical Quality Performance Among Health Centers
A racial/ethnic disparities in clinical quality among US health centers is assessed, and whether performance on quality measures varied across 3 health center characteristics is examined.
Electronic Health Records vs Medicaid Claims: Completeness of Diabetes Preventive Care Data in Community Health Centers
Electronic Health Record databases in community health centers (CHCs) present new opportunities for quality improvement, comparative effectiveness, and health policy research, especially among populations who are discontinuously insured.
Race/ethnicity in medical charts and administrative databases of patients served by community health centers.
A careful appraisal of data quality of race/ethnicity is warranted before administrative databases are used in clinical quality improvement programs or research to assess health disparities.


Quality of diabetes care in community health centers.
Rates of adherence to process measures of quality were relatively low among community health centers, compared with the targets established by the American Diabetes Association.
Diabetes management quality improvement in a family practice residency program.
The findings suggest that multimodal diabetes care quality improvement initiatives, applied longitudinally, can result in significant improvements in the provision and documentation of diabetes care.
The Effect of Intensive Treatment of Diabetes on the Development and Progression of Long‐Term Complications in Insulin‐Dependent Diabetes Mellitus
Intensive therapy effectively delays the onset and slows the progression of diabetic retinopathy, nephropathy, and neuropathy in patients with IDDM.
Inequality in America: The Contribution of Health Centers in Reducing and Eliminating Disparities in Access to Care
Evidence suggests that health centers are successful in reducing and eliminating health access disparities by establishing themselves as their patients’ usual and regular source of care, which portends well for reducing and eliminate health status disparities.
Epidemiology and Health Care Quality Management
Quality management and how to assess and improve quality in the health care setting is described and the impact of quality management on the overall performance of health care systems is considered.
Shattuck lecture--clinical research to clinical practice--lost in translation?
  • C. Lenfant
  • Medicine
    The New England journal of medicine
  • 2003
The magnitude of the problem of translating research knowledge into clinical practice and suggestions for closing this gap are outlined by Claude Lenfant.
Global Burden of Diabetes, 1995–2025: Prevalence, numerical estimates, and projections
This report supports earlier predictions of the epidemic nature of diabetes in the world during the first quarter of the 21st century and provides a provisional picture of the characteristics of the diabetes epidemic.
The quality of health care delivered to adults in the United States.
The deficits the authors have identified in adherence to recommended processes for basic care pose serious threats to the health of the American public and strategies to reduce these deficits in care are warranted.