The Coached Care (R2D2C2) Project

Springer: 5/4/13

BACKGROUND

Despite numerous efforts to change healthcare delivery, the profile of disparities in diabetes care and outcomes has not changed substantially over the past decade.

OBJECTIVE

To understand potential contributors to disparities in diabetes care and glycemic control.

DESIGN

Cross sectional analysis.

SSETTING

Seven outpatient clinics affiliated with an academic medical center.

PATIENTS

Adult patients with type 2 diabetes who were Mexican American, Vietnamese American or non-Hispanic white (n = 1,484).

MEASUREMENTS

Glycemic control was measured as hemoglobin A1c (HbA1c) level. Patient, provider and system characteristics included demographic characteristics; access to care; quality of process of care including clinical inertia; quality of interpersonal care; illness burden; mastery (diabetes management confidence, passivity); and adherence to treatment. Read more