Process of care compliance is associated with fewer diabetes complications.

摘要: In 2010, the estimated prevalence of diabetes among adults ranged from 5 to 13% across United States and its territories (1) accounting for substantial morbidity, mortality, their associated economic costs (2, 3). Type Two Diabetes Mellitus (T2DM) often develops 9–12 years before diagnosis (4) more than 50% patients have at least one complication by that time(5). A significant body research has established effective treatments can significantly decrease development and/or progression complications (6–17). However, care remains suboptimal varied in (18–22). an effort improve outcomes, The National Quality Improvement Project (1997) developed a comprehensive set process intermediate outcome measures assess quality are now considered standards (20, 23). These include annual screenings lipids microalbuminuria, two measurements HbA1c 30 days apart flu vaccinations, dilated eye exams foot examinations (23). A number studies (1, 7, 18, 20–33) used these performance provided with diabetes. provide evidence gaps between national actual received persons (26). The present study examines three – tests, lipid tests urine screening microalbuminuria -- association four subsequent Coronary Artery Disease (CAD), Stroke, Heart Failure (HF), Renal (RD) cohort employees large manufacturing company. This provides opportunity this issue geographically, ethnically socioeconomically diverse population rich uniform health benefits. contributes literature identifying systematic reasons differences privately insured Americans examining whether adherence recommended processes is better outcomes (26, 34).