Nursing Medical News about rural diabetes care

Become a Member Today!
Register

Most Viewed Abstracts

1. Report Shows Shift in Starting Salaries for Physicians

2. Recommendations on the use of 18F-FDG PET in oncology

3. Use of Antiemetic Agents in Acute Gastroenteritis

4. Gene expression signatures, clinicopathological features, and individualized therapy in breast cancer

5. AHA Guidelines on Cardiac CT for Assessing Coronary Artery Disease

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

Are there disparities in diabetes care? A comparison of care received by US rural and non-rural adults with diabetes
Primary Health Care Research & Development, 09/11/09

Lutfiyya MN et al. – Rural residents were less likely to receive adequate diabetes care compared to their non–rural counterparts. The findings suggest that efforts to identify and to address this disparity would likely improve the outcomes for diabetic individuals living in rural communities.

Methods

This cross–sectional study using population–based survey data sought to determine if there was a difference in the quality of diabetes care between rural and non–rural US adults (>=18 years).
A diabetes care index was computed from five separate dichotomous care–related variables (HbA1c checked, lipids checked, dilated eye exam, feet checked by health care provider, and diabetes education), with adequate care defined as receiving at least four of these interventions.

Results

Multivariate regression analysis revealed that US adults with diabetes living in rural communities were more likely to receive inadequate care than non–rural residents.
Rural residents were more likely to receive inadequate diabetes care if they were: <40 years of age, male, Caucasian, not a high school graduate, not partnered, without health insurance, inactive or without an identified health care provider.
Those deferring medical care because of cost, or who did not have an annual routine physical or had fewer than two diabetes related office visits annually were also at greater risk for suboptimal care.
Routine physical checkups and deferring medical care because of cost had a greater impact on diabetes care for rural adults compared to non–rural adults.

<< Previous
Fatigue-Based Subgroups of Breast Cancer Survivors With Insomnia

Next >>
A cost–effectiveness analysis of a multimedia learning education...