No Insurance?

Study Finds Uninsured People With Diabetes Receive More Tests in Community Health Centers Than in Doctors' Offices

| Jun 1, 2002

People with diabetes who don't have healthcare insurance may be more likely to receive tests that monitor diabetes control and assess risk for complications at community and migrant health centers than they do at a private doctor's office, according to researchers in North Carolina.

A report in the February 2002 issue of Diabetes Care examined medical records, which showed that people treated at community/migrant health centers were more likely than those treated by private physicians to have the tests that measure quality of care, including A1C tests (98 percent versus 75 percent), cholesterol tests (82 percent versus 51 percent) and urine protein tests (90 percent versus 25 percent).

Deborah S. Porterfield, MD, of the North Carolina Division of Public Health and Linda Kinsinger, MD, of the University of North Carolina conducted a cross-sectional review of 142 medical records from eight doctors' offices and three community/ migrant healthcare centers in rural North Carolina.

Although people treated at the healthcare centers were more likely to have the necessary tests than those who saw private physicians, "outcomes were similar in the two settings and well below [goals]," the researchers note.

"Only 51 percent had blood pressure below the target of 140/90 mmHG, only 40 percent had reached the LDL target of 130 mg/dl, and only 63 percent were at or below the A1C target of 9.5 percent."

Uninsured people with diabetes treated in community/migrant health-care centers "had higher quality of care as suggested by higher rates of process of care," conclude the researchers. "Further work is required to replicate these findings and to understand which features of community/ migrant health care centers may facilitate quality care for the uninsured and are replicable in other settings."


Clinical adviser's note: The 2002 recommendations of the American Diabetes Association set goals for nonpregnant adults with diabetes that differ from those used in this study in the following ways: the ADA-recommended blood pressure goal is less than 130/80, the LDL ("bad") cholesterol goal is less than 100 mg/dl, and the A1C goal is less than 7%.

Click Here To View Or Post Comments

Categories: A1c Test, Diabetes, Diabetes, Health Insurance


Take the Diabetes Health Pump Survey
See What's Inside
Read this FREE issue now
For healthcare professionals only

You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To View

See if you qualify for our free healthcare professional magazines. Click here to start your application for Pre-Diabetes Health, Diabetes Health Pharmacist and Diabetes Health Professional.

Learn More About the Professional Subscription

Free Diabetes Health e-Newsletter

Latest
Popular
Top Rated
Print | Email | Share | Comments (0)

You May Also Be Interested In...


Comments


Add your comments about this article below. You can add comments as a registered user or anonymously. If you choose to post anonymously your comments will be sent to our moderator for approval before they appear on this page. If you choose to post as a registered user your comments will appear instantly.

When voicing your views via the comment feature, please respect the Diabetes Health community by refraining from comments that could be considered offensive to other people. Diabetes Health reserves the right to remove comments when necessary to maintain the cordial voice of the diabetes community.

For your privacy and protection, we ask that you do not include personal details such as address or telephone number in any comments posted.

Don't have your Diabetes Health Username? Register now and add your comments to all our content.

Have Your Say...


Username: Password:
Comment:
©1991-2014 Diabetes Health | Home | Privacy | Press | Advertising | Help | Contact Us | Donate | Sitemap

Diabetes Health Medical Disclaimer

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. Opinions expressed here are the opinions of writers, contributors, and commentators, and are not necessarily those of Diabetes Health. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website.