Andrus Miranda R, Kelley Kristi W, Murphey Lisa M, Herndon Katherine C
Auburn University, Harrison School of Pharmacy, Hall, Box 870326, Tuscaloosa, AL 35487, USA.
J Community Health. 2004 Feb;29(1):29-44. doi: 10.1023/b:johe.0000007443.96138.03.
This study sought to determine the differences in the level of diabetes care of patients in a rural family practice clinic and an urban internal medicine clinic in Alabama. Medical records of patients with diabetes were reviewed and management practices were compared to current American Diabetes Association (ADA) standards of care. The rural practice had fewer patients at goal A1c, goal LDL, and goal blood pressure. Rural patients were also less likely to receive screening and preventative services such as lipid profiles, eye examinations, microalbumin screening, aspirin therapy, and vaccinations than urban patients. Although, adherence to the ADA standards of care was lower with rural patients, the results suggest that there exists significant opportunity to improve the delivery of diabetes care services to both patient populations.
本研究旨在确定阿拉巴马州一家农村家庭诊所和一家城市内科诊所中糖尿病患者的糖尿病护理水平差异。对糖尿病患者的病历进行了审查，并将管理实践与美国糖尿病协会（ADA）当前的护理标准进行了比较。农村诊所达到糖化血红蛋白（A1c）目标、低密度脂蛋白（LDL）目标和血压目标的患者较少。与城市患者相比，农村患者接受血脂检查、眼科检查、微量白蛋白筛查、阿司匹林治疗和疫苗接种等筛查及预防服务的可能性也较小。尽管农村患者对ADA护理标准的依从性较低，但结果表明，在为这两类患者群体提供糖尿病护理服务方面，仍有很大的改进空间。
