Primary Care Diabetes
Volume 2, Issue 1 , Pages 39-44 , 2008

Racial/ethnic and educational-level differences in diabetes care experiences in primary care

  • George L. Jackson

      Affiliations

    • Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA
    • Division of General Internal Medicine, Duke University Medical Center, Durham, NC, USA
    • Corresponding Author InformationCorresponding author at: Durham Veterans Affairs Medical Center, HSR&D Service (152), 508 Fulton Street, Durham, NC 27705, USA. Tel.: +1 919 286 0411x7091; fax: +1 919 416 5836.
  • ,
  • Morris Weinberger

      Affiliations

    • Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA
    • Department of Health Policy and Administration, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
  • ,
  • Natia S. Hamilton

      Affiliations

    • Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA
    • Department of Psychology, North Carolina Central University, Durham, NC, USA
  • ,
  • David Edelman

      Affiliations

    • Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA
    • Division of General Internal Medicine, Duke University Medical Center, Durham, NC, USA

Received 31 August 2007 ,Revised 12 November 2007 ,Accepted 27 November 2007.

References 

  1. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N. Engl. J. Med. 2003;348(26):2635–2645
  2. Berlowitz DR, Ash AS, Glickman M, et al. Developing a quality measure for clinical inertia in diabetes care. Health Serv. Res. 2005;40(6 Part 1):1836–1853
  3. Saaddine JB, Cadwell B, Gregg EW, et al. Improvements in diabetes processes of care and intermediate outcomes: United States, 1988–2002. Ann. Intern. Med. 2006;144(7):465–474
  4. Oddone EZ, Petersen LA, Weinberger M, Freedman J, Kressin NR. Contribution of the Veterans Health Administration in understanding racial disparities in access and utilization of health care: a spirit of inquiry. Med. Care. 2002;40(1 Suppl):I3–I13
  5. Brown AF, Ettner SL, Piette J, et al. Socioeconomic position and health among persons with diabetes mellitus: a conceptual framework and review of the literature. Epidemiol. Rev. 2004;26:63–77
  6. Braveman P. Health disparities and health equity: concepts and measurement. Annu. Rev. Public Health. 2006;27:167–194
  7. S. Saha, M. Freeman, J. Toure, K.M. Tippens, C. Weeks. Racial and ethnic disparities in the VA healthcare system: a systematic review, Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC, June, 2007.
  8. Gornick ME. Disparities in Medicare services: potential causes, plausible explanations, and recommendations. Health Care Financ. Rev. 2000;21(4):23–43
  9. Nilsson PM, Johansson SE, Sundquist J. Low educational status is a risk factor for mortality among diabetic people. Diabet. Med. 1998;15(3):213–219
  10. Beckles GL, Engelgau MM, Narayan KM, Herman WH, Aubert RE, Williamson DF. Population-based assessment of the level of care among adults with diabetes in the U.S.. Diabetes Care. 1998;21(9):1432–1438
  11. Asch SM, McGlynn EA, Hogan MM, et al. Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample. Ann. Intern. Med. 2004;141(12):938–945
  12. Kerr EA, Gerzoff RB, Krein SL, et al. Diabetes care quality in the Veterans Affairs Health Care System and commercial managed care: the TRIAD study. Ann. Intern. Med. 2004;141(4):272–281
  13. Wagner EH. Chronic disease management: what will it take to improve care for chronic illness?. Eff. Clin. Pract. 1998;1(1):2–4
  14. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA. 2002;288(14):1775–1779
  15. Fleming B, Silver A, Ocepek-Welikson K, Keller D. The relationship between organizational systems and clinical quality in diabetes care. Am. J. Manage. Care. 2004;10(12):934–944
  16. Jackson GL, Yano EM, Edelman D, et al. Veterans Affairs primary care organizational characteristics associated with better diabetes control. Am. J. Manage. Care. 2005;11(4):225–237
  17. Nutting PA, Dickinson WP, Dickinson LM, et al. Use of chronic care model elements is associated with higher-quality care for diabetes. Ann. Fam. Med. 2007;5(1):14–20
  18. Landon BE, Hicks LS, O’Malley AJ, et al. Improving the management of chronic disease at community health centers. N. Engl. J. Med. 2007;356(9):921–934
  19. Vargas RB, Mangione CM, Asch S, et al. Can a chronic care model collaborative reduce heart disease risk in patients with diabetes?. J. Gen. Intern. Med. 2007;22(2):215–222
  20. Chin MH, Cook S, Drum ML, et al. Improving diabetes care in midwest community health centers with the health disparities collaborative. Diabetes Care. 2004;27(1):2–8
  21. Borowsky SJ, Cowper DC. Dual use of VA and non-VA primary care. J. Gen. Intern. Med. 1999;14(5):274–280
  22. Kupersmith J, Francis J, Kerr E, et al. Advancing evidence-based care for diabetes: lessons from the Veterans Health Administration. Health Aff. (Millwood). 2007;26(2):w156–w168
  23. Glasgow RE, Whitesides H, Nelson CC, King DK. Use of the Patient Assessment of Chronic Illness Care (PACIC) with diabetic patients: relationship to patient characteristics, receipt of care, and self-management. Diabetes Care. 2005;28(11):2655–2661
  24. Glasgow RE, Wagner EH, Schaefer J, Mahoney LD, Reid RJ, Greene SM. Development and validation of the Patient Assessment of Chronic Illness Care (PACIC). Med. Care. 2005;43(5):436–444
  25. Bonomi AE, Wagner EH, Glasgow RE, VonKorff M. Assessment of chronic illness care (ACIC): a practical tool to measure quality improvement. Health Serv. Res. 2002;37(3):791–820
  26. Williams RL. A note on robust variance estimation for cluster-correlated data. Biometrics. 2000;56(2):645–646
  27. Piette JD, Heisler M, Krein S, Kerr EA. The role of patient-physician trust in moderating medication nonadherence due to cost pressures. Arch. Intern. Med. 2005;165(15):1749–1755
  28. Van Houtven CH, Voils CI, Oddone EZ, et al. Perceived discrimination and reported delay of pharmacy prescriptions and medical tests. J. Gen. Intern. Med. 2005;20(7):578–583
  29. Voils CI, Oddone EZ, Weinfurt KP, et al. Racial differences in health concern. J. Natl. Med. Assoc. 2006;98(1):36–42
  30. Bosworth HB, Stechuchak KM, Grambow SC, Oddone EZ. Patient risk perceptions for carotid endarterectomy: which patients are strongly averse to surgery?. J. Vasc. Surg. 2004;40(1):86–91
  31. Doescher MP, Saver BG, Franks P, Fiscella K. Racial and ethnic disparities in perceptions of physician style and trust. Arch. Fam. Med. 2000;9(10):1156–1163
  32. Voils CI, Oddone EZ, Weinfurt KP, Friedman JY, Schulman KA, Bosworth HB. Who trusts healthcare institutions? Results from a community-based sample. Ethn. Dis. 2005;15(1):97–103
  33. Oddone EZ, Horner RD, Diers T, et al. Understanding racial variation in the use of carotid endarterectomy: the role of aversion to surgery. J. Natl. Med. Assoc. 1998;90(1):25–33
  34. Rosenheck R, Fontana A, Cottrol C. Effect of clinician–veteran racial pairing in the treatment of posttraumatic stress disorder. Am. J. Psychiatry. 1995;152(4):555–563
  35. Clark NM. Management of chronic disease by patients. Annu. Rev. Public Health. 2003;24:289–313
  36. Von Korff M, Gruman J, Schaefer J, Curry SJ, Wagner EH. Collaborative management of chronic illness. Ann. Intern. Med. 1997;127(12):1097–1102
  37. Wang Y, Beydoun MA. The obesity epidemic in the United States--gender, age, socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and meta-regression analysis. Epidemiol. Rev. 2007;29:6–28
  38. Francis J, Perlin JB. Improving performance through knowledge translation in the Veterans Health Administration. J. Contin. Educ. Health Prof. 2006;26(1):63–71
  39. Corbie-Smith G, Thomas SB, St George DM. Distrust, race, and research. Arch. Intern. Med. 2002;162(21):2458–2463
  40. Morgan RO, Teal CR, Reddy SG, Ford ME, Ashton CM. Measurement in Veterans Affairs Health Services Research: veterans as a special population. Health Serv. Res. 2005;40(5 Pt 2):1573–1583

 Preliminary results were presented at the AcademyHealth Annual Meeting in Orlando, FL on 4 June 2007.

PII: S1751-9918(07)00170-2

doi: 10.1016/j.pcd.2007.11.002

Primary Care Diabetes
Volume 2, Issue 1 , Pages 39-44 , 2008