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Diabetes Quality of Care Before and After Implementation of a Resident Clinic Practice Partnership System.

Publication ,  Journal Article
Campbell, EA; Crowley, MJ; Powers, BJ; Sanders, LL; Olsen, MK; Danus, S; McNeill, DB; Zaas, AK
Published in: Am J Med Qual
2017

Deficiencies in resident diabetes care quality may relate to continuity clinic design. This retrospective analysis compared diabetes care processes and outcomes within a traditional resident continuity clinic structure (2005) and after the implementation of a practice partnership system (PPS; 2009). Under PPS, patients were more likely to receive annual foot examinations (odds ratio [OR] = 11.6; 95% confidence interval [CI] = 7.2, 18.5), microalbumin screening (OR = 2.4; 95% CI = 1.6, 3.4), and aspirin use counseling (OR = 3.8; 95% CI = 2.5, 6.0) and were less likely to receive eye examinations (OR = 0.54; 95% CI = 0.36, 0.82). Hemoglobin A1c and lipid testing were similar between periods, and there was no difference in achievement of diabetes and blood pressure goals. Patients were less likely to achieve cholesterol goals under PPS (OR = 0.62; 95% CI = 0.39, 0.98). Resident practice partnerships may improve processes of diabetes care but may not affect intermediate outcomes.

Duke Scholars

Published In

Am J Med Qual

DOI

EISSN

1555-824X

Publication Date

2017

Volume

32

Issue

1

Start / End Page

66 / 72

Location

Netherlands

Related Subject Headings

  • Retrospective Studies
  • Quality of Health Care
  • Quality Indicators, Health Care
  • Middle Aged
  • Male
  • Lipids
  • Internship and Residency
  • Internal Medicine
  • Humans
  • Health Policy & Services
 

Citation

APA
Chicago
ICMJE
MLA
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Campbell, E. A., Crowley, M. J., Powers, B. J., Sanders, L. L., Olsen, M. K., Danus, S., … Zaas, A. K. (2017). Diabetes Quality of Care Before and After Implementation of a Resident Clinic Practice Partnership System. Am J Med Qual, 32(1), 66–72. https://doi.org/10.1177/1062860615615210
Campbell, Elizabeth A., Matthew J. Crowley, Benjamin J. Powers, Linda L. Sanders, Maren K. Olsen, Susanne Danus, Diana B. McNeill, and Aimee K. Zaas. “Diabetes Quality of Care Before and After Implementation of a Resident Clinic Practice Partnership System.Am J Med Qual 32, no. 1 (2017): 66–72. https://doi.org/10.1177/1062860615615210.
Campbell EA, Crowley MJ, Powers BJ, Sanders LL, Olsen MK, Danus S, et al. Diabetes Quality of Care Before and After Implementation of a Resident Clinic Practice Partnership System. Am J Med Qual. 2017;32(1):66–72.
Campbell, Elizabeth A., et al. “Diabetes Quality of Care Before and After Implementation of a Resident Clinic Practice Partnership System.Am J Med Qual, vol. 32, no. 1, 2017, pp. 66–72. Pubmed, doi:10.1177/1062860615615210.
Campbell EA, Crowley MJ, Powers BJ, Sanders LL, Olsen MK, Danus S, McNeill DB, Zaas AK. Diabetes Quality of Care Before and After Implementation of a Resident Clinic Practice Partnership System. Am J Med Qual. 2017;32(1):66–72.
Journal cover image

Published In

Am J Med Qual

DOI

EISSN

1555-824X

Publication Date

2017

Volume

32

Issue

1

Start / End Page

66 / 72

Location

Netherlands

Related Subject Headings

  • Retrospective Studies
  • Quality of Health Care
  • Quality Indicators, Health Care
  • Middle Aged
  • Male
  • Lipids
  • Internship and Residency
  • Internal Medicine
  • Humans
  • Health Policy & Services