research Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination Read Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination
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Home Research Research Library Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S 2022 Topic(s) Role of Primary Care, and Achieving Health System Goals Volume Diabetes Care Source Diabetes Care OBJECTIVE: The purpose of the study is to examine diabetes screening and monitoring among Latino individuals as compared with non-Latino White individuals and to better understand how we can use neighborhood data to address diabetes care inequities. RESEARCH DESIGN AND METHODS: This is a retrospective observational study linked with neighborhood-level Latino subgroup data obtained from the American Community Survey. We used generalized estimating equation negative binomial and logistic regression models adjusted for patient-level covariates to compare annual rates of glycated hemoglobin (HbA1c) monitoring for those with diabetes and odds of HbA1c screening for those without diabetes by ethnicity and among Latinos living in neighborhoods with low (0.0-22.0%), medium (22.0-55.7%), and high (55.7-98.0%) population percent of Mexican origin. RESULTS: Latino individuals with diabetes had 18% higher rates of HbA1c testing than non-Latino White individuals with diabetes (adjusted rate ratio [aRR] 1.18 [95% CI 1.07-1.29]), and Latinos without diabetes had 25% higher odds of screening (adjusted odds ratio 1.25 [95% CI 1.15-1.36]) than non-Latino White individuals without diabetes. In the analyses in which neighborhood-level percent Mexican population was the main independent variable, all Latinos without diabetes had higher odds of HbA1c screening compared with non-Latino White individuals, yet only those living in low percent Mexican-origin neighborhoods had increased monitoring rates (aRR 1.31 [95% CI 1.15-1.49]). CONCLUSIONS: These findings reveal novel variation in health care utilization according to Latino subgroup neighborhood characteristics and could inform the delivery of diabetes care for a growing and increasingly diverse Latino patient population. Clinicians and researchers whose work focuses on diabetes care should take steps to improve equity in diabetes and prevent inequity in treatment. Read More ABFM Research Read all 2021 How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care Go to How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care 2014 Medical specialty boards can help measure graduate medical education outcomes Go to Medical specialty boards can help measure graduate medical education outcomes 2019 Patient and Clinician Perceptions of Prediabetes: A Mixed-Methods Primary Care Study Go to Patient and Clinician Perceptions of Prediabetes: A Mixed-Methods Primary Care Study 2003 Computer-based testing in family practice certification and recertification Go to Computer-based testing in family practice certification and recertification
Topic(s) Role of Primary Care, and Achieving Health System Goals Volume Diabetes Care Source Diabetes Care
ABFM Research Read all 2021 How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care Go to How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care 2014 Medical specialty boards can help measure graduate medical education outcomes Go to Medical specialty boards can help measure graduate medical education outcomes 2019 Patient and Clinician Perceptions of Prediabetes: A Mixed-Methods Primary Care Study Go to Patient and Clinician Perceptions of Prediabetes: A Mixed-Methods Primary Care Study 2003 Computer-based testing in family practice certification and recertification Go to Computer-based testing in family practice certification and recertification
2021 How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care Go to How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care
2014 Medical specialty boards can help measure graduate medical education outcomes Go to Medical specialty boards can help measure graduate medical education outcomes
2019 Patient and Clinician Perceptions of Prediabetes: A Mixed-Methods Primary Care Study Go to Patient and Clinician Perceptions of Prediabetes: A Mixed-Methods Primary Care Study
2003 Computer-based testing in family practice certification and recertification Go to Computer-based testing in family practice certification and recertification
