Regional Variation in Diabetic Outcomes by Country-of-Origin and Language in an Urban Safety Net Hospital

被引：3
作者：
Wilhelm, April K. [1 ]
Jacobson, Debra J. [2 ]
Guzman-Corrales, Laura [3 ]
Fan, Chun [2 ]
Baker, Karen [4 ]
Njeru, Jane W. [5 ]
Wieland, Mark L. [5 ]
Boehm, Deborah H. [3 ]
机构：
[1] United Family Med Residency Program, St Paul, MN USA
[2] Mayo Clin, Div Biomed Stat & Informat, Rochester, MN USA
[3] Minneapolis Med Res Fdn Inc, 701 Pk Ave South P7, Minneapolis, MN 55415 USA
[4] Hennepin Cty Med Ctr, Analyt Ctr Excellence, Minneapolis, MN 55415 USA
[5] Mayo Clin, Div Primary Care Internal Med, Rochester, MN USA
来源：
JOURNAL OF COMMUNITY HEALTH | 2016年 / 41卷 / 04期
关键词：
Diabetes; Limited English language proficiency; Immigrant; Interpreter use; LIMITED ENGLISH PROFICIENCY; ETHNIC-DIFFERENCES; HEALTH-CARE; GLYCEMIC CONTROL; SERVICES; ACCESS; IMMIGRANTS; QUALITY; SPOKEN; ADULTS;
D O I：
10.1007/s10900-016-0155-0
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Adherence to diabetic care guidelines among US immigrants remains low. This study assesses adherence to diabetic care guidelines by country-of-origin and language among a limited English-proficient (LEP) population. Timely completion of diabetic measures and acceptable levels of hemoglobin A1c (A1c), low density lipoprotein (LDL) cholesterol, and blood pressure (BP) were compared between LEP and English-proficient (EP) patients in this 2013 retrospective cohort study of adult diabetics. More LEP patients met BP targets (83 vs. 68 %, p < 0.0001) and obtained LDL targets (89 vs. 85 %, p = 0.0007); however, they had worse LDL control (57 vs. 62 %, p = 0.0011). Ethiopians and Somalians [adjusted OR (95 % CI) = 0.44 (0.30, 0.63)] were less likely than Latin Americans to meet BP goals. LEP patients outperformed EP peers on several diabetic outcomes measures with important variation between groups. These data highlight the success of a safety net hospital in improving diabetes management among diverse populations.
引用
收藏
页码：798 / 804
页数：7
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