Eldakroury Ahmed, Olivera Ericka, Martin Rebecca, De Groot Anne S
Volunteer medical provider and leads diabetes education classes at Clínica Esperanza/Hope Clinic.
R I Med J (2013). 2013 Jan 4;96(1):25-9.
To determine whether Type 2 diabetes care for the uninsured is comparable to care provided to insured patients, we compared a free clinic's compliance with American Diabetes Association (ADA) clinical practice guidelines to 6 adherence evaluations in the literature. We examined diabetes management-related biomarkers, compliance with ADA-recommended health monitoring events, and presence of other health-promoting behaviors via retrospective chart review (n = 33). Results demonstrate that standards achieved by the free clinic were commensurate with, if not outperforming, published standards achieved in settings for insured patients. This evaluation emphasizes that free clinics can provide high-quality diabetes management care to patients with limited resources. This review also provides a benchmark against which results of future diabetes management interventions in both free and conventional clinic settings can be compared.
为了确定为未参保者提供的2型糖尿病护理是否与为参保患者提供的护理相当，我们将一家免费诊所对美国糖尿病协会（ADA）临床实践指南的遵循情况与文献中的6项依从性评估进行了比较。我们通过回顾性病历审查（n = 33）检查了与糖尿病管理相关的生物标志物、对ADA推荐的健康监测项目的遵循情况以及其他促进健康行为的存在情况。结果表明，该免费诊所达到的标准即使没有超过为参保患者设置的已发表标准，也与之相当。该评估强调，免费诊所可以为资源有限的患者提供高质量的糖尿病管理护理。本综述还提供了一个基准，可用于比较未来在免费诊所和传统诊所环境中进行的糖尿病管理干预措施的结果。
