HealthDay News — Black patients with diabetes do not receive the same quality of care and experience poorer intermediate outcomes, even in the practice setting of a patient-centered medical home, study findings indicate.
More black patients had a hemoglobin A1C greater than 9% than nonhispanic white patients, and fewer black patients achieved a HbA1C less than 7%, low-density lipoprotein (LDL) cholesterol less than 100 mg/dL or BP less than 140/90 mm Hg (P< 0.05 for all comparisons), Joseph A. Simonetti, MD, of the University of Washington in Seattle, and colleagues reported in Diabetes Care.
The retrospective analysis included data from 1,457 adults receiving care within a patient-centered medical home-designated academic practice between July 1, 2009 and July 31, 2010. Overall, black patients were younger, more often single, had lower educational attainment and were more likely to have public insurance.
In addition to poorer outcomes, fewer black patients received a retinal examination, an influenza vaccination or any lifetime pneumococcal vaccination (P<0.05; all comparisons), and were less likely to receive HbA1C testing (odds ratio, 0.57; 95% CI 0.34-0.95), the researchers found.
“In summary, despite the implementation of a highly innovative patient-centered medical home, we observed racial differences in both processes of care and intermediate outcomes for patients with diabetes,” the researchers wrote.