Racial and ethnic disparities in the pharmacologic management of diabetes mellitus among long-term care facility residents.

摘要: OBJECTIVE To evaluate the prevalence of racial and ethnic disparities antidiabetic treatment among residents long-term care facilities in five states. RESEARCH DESIGN AND METHODS Retrospective, cross-sectional study 50,427 elderly nursing home with diabetes New York, South Dakota, Kansas, Mississippi, Ohio between 1993 1997. RESULTS Thirty to fifty percent received no medications. After adjusting for sociodemographic characteristics, comorbid conditions severity, Blacks Hispanics had lower rates medication use than Whites, while Asians slightly higher rates. For Native Americans results were mixed, little disparity was seen when compared Whites observed York residents, Dakota significantly Whites. CONCLUSION Although lack information on glycemic control non-medical treatments do not allow us comment quality care, more research is needed understand why some homes are less likely receive medication.