Fernández-Ortega Miguel Ángel, Castro-Porras Lilia V, Olaiz-Fernández Gustavo A, Gómez-Cabrera Elizabeth, Martínez-Ortiz Jesús Alonso, Aguirre-Vázquez Andrea Fernanda, Chavez-Ciriaco Alejandra, de Anda Félix J Vicuña, Gómez-Peña Elena G
Centro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de México, Universidad Nacional Autónoma de México, 12 Ciudad Universitaria, Edificio CIPPS-Sótano y Piso 2, Cto. Centro Cultural S/N, Coyoacán, 04510, Mexico City, Mexico.
J Racial Ethn Health Disparities. 2025 Aug 15. doi: 10.1007/s40615-025-02581-9.
To compare the proportion of patients with diabetes under metabolic control in three health clinics attended by Mexican doctors vs. non-Mexican doctors.
Longitudinal analytical study of three clinics in California in which data from 8979 consultations in 2023 were analyzed. Control of patients with diabetes was evaluated based on the nationality of the physician (Mexican/non-Mexican), the type of consultation (first-time or follow-up), and referrals to the Nephrology department. Frequency analysis and chi-square were performed to estimate the risk of the selected outcomes (uncontrolled diabetes or referral to the nephrology service), and the Hosmer and Lemeshow goodness-of-fit test was applied.
Better control was observed in consultations of patients with diabetes seen by Mexican physicians compared to non-Mexican physicians OR = 1.62 [1.42, 1.84]. Likewise, the percentage of patients referred to Nephrology was almost triple by non-Mexican physicians compared to Mexican physicians OR = 2.69 [1.84, 3.92].
The cultural and linguistic concordance between Mexican physicians and Spanish-speaking patients may contribute to improved diabetes control and could lead to greater engagement with primary care services among newly diagnosed diabetes patients.
比较在墨西哥医生和非墨西哥医生坐诊的三家健康诊所中，糖尿病患者代谢控制达标的比例。
对加利福尼亚州的三家诊所进行纵向分析研究，分析了2023年8979次会诊的数据。根据医生国籍（墨西哥/非墨西哥）、会诊类型（首次或随访）以及肾病科转诊情况评估糖尿病患者的控制情况。进行频率分析和卡方检验以估计所选结局（糖尿病控制不佳或转诊至肾病科）的风险，并应用Hosmer和Lemeshow拟合优度检验。
与非墨西哥医生相比，墨西哥医生诊治的糖尿病患者会诊中观察到更好的控制效果，比值比（OR）=1.62 [1.42, 1.84]。同样，与墨西哥医生相比，非墨西哥医生转诊至肾病科的患者百分比几乎是其三倍，OR = 2.69 [1.84, 3.92]。
墨西哥医生与说西班牙语患者之间的文化和语言一致性可能有助于改善糖尿病控制，并可能使新诊断的糖尿病患者更多地参与初级保健服务。
