Disparities in Diabetes Care: Differences Between Rural and Urban Patients Within a Large Health System.

ABSTRACT:

Purpose

We sought to ascertain factors associated with the quality of diabetes care, comparing rural vs urban diabetic patients in a large health care system.

Methods

We conducted a retrospective cohort study assessing patients' attainment of the D5 metric, a diabetes care metric having 5 components (no tobacco use, glycated hemoglobin [A_1c] level less than 8%, blood pressure less than 140/90 mm Hg, low-density lipoprotein cholesterol level at goal or statin prescribed, and aspirin use consistent with clinical recommendations). Covariates included age, sex, race, adjusted clinical group (ACG) score as a marker of complexity, insurance type, primary care clinician type, and health care use data.

Results

The study cohort consisted of 45,279 patients with diab

SUBMITTER: Foss R 

PROVIDER: S-EPMC10202509 | biostudies-literature | 2023 May-Jun

REPOSITORIES: biostudies-literature