Comparison of Medicine Resident Diabetes Care Between Veterans Affairs and Academic Health Care Systems
Powers BJ et al. - Compared to the VA, patients in the AHS were more likely to be younger, female, have fewer medications, and be treated with insulin, but had less comorbidity. Patients in the VA were more likely to be referred for an annual eye exam (94% vs. 78%), receive lipid screening (88% vs. 74%), receive proteinuria screening (63% vs. 34%), and receive a complete foot exam (85% vs. 32%) in analyses adjusted for patient demographics and comorbidities. In adjusted analyses, there were no significant differences in HbA1c, blood pressure, or LDL cholesterol control. In spite of similar resident providers and practice models, there were substantial differences in the diabetes quality of care delivered in the VA and AHS. Understanding how these factors influence subsequent practice patterns is an important area for study. [more...]
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