Roubideaux Yvette, Buchwald Dedra, Beals Janette, Middlebrook Denise, Manson Spero, Muneta Ben, Rith-Najarian Steve, Shields Ray, Acton Kelly
Mel and Enid Zuckerman Arizona College of Public Health, University of Arizona, Tucson 85716, USA.
Am J Public Health. 2004 Jan;94(1):60-5. doi: 10.2105/ajph.94.1.60.
This study evaluated the quality of diabetes care for older American Indians and Alaska Natives.
We analyzed the Indian Health Service Diabetes Care and Outcomes Audit to determine whether completion of indicators of diabetes care differed as a function of age and whether additional patient and program factors were also associated with completion of the majority of the indicators.
Completion rates varied by age group, with significantly lower rates seen among the youngest and oldest. Patient diabetes education and duration of diabetes were most strongly associated with the completion of the majority of these indicators.
Further studies are needed to determine effective interventions, including diabetes education, to improve the quality of diabetes care in the youngest and oldest age groups.
本研究评估了美国印第安人和阿拉斯加原住民老年人的糖尿病护理质量。
我们分析了印第安卫生服务局糖尿病护理与结果审计，以确定糖尿病护理指标的完成情况是否因年龄而异，以及其他患者和项目因素是否也与大多数指标的完成情况相关。
完成率因年龄组而异，最年轻和最年长组的完成率明显较低。患者糖尿病教育和糖尿病病程与这些指标中大多数指标的完成情况关联最为密切。
需要进一步研究以确定有效的干预措施，包括糖尿病教育，以改善最年轻和最年长年龄组的糖尿病护理质量。
