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National Healthcare Disparities Report, 2003

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Racial and Ethnic Differences in Effectiveness of Care: Diabetes

Measure Racial Difference[1] Ethnic Difference[2]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Management of Diabetes
Adults with diabetes who had a hemoglobin A1c measurement at least once in past year[3] Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
Adults with diabetes who had a lipid profile in past two years3 Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
Adults with diabetes who had a retinal eye examination in past year3 Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
Adults with diabetes who had a foot examination in past year3 Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
Adults with diabetes who had an influenza immunization in past year3 Selected population receives worse quality care than the comparison population Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Hospital admissions for uncontrolled diabetes per 100,000 population[4] *4 Selected population receives better quality care than the comparison population4     Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Hospital admissions for short term complications of diabetes per 100,000 population4 *4 Selected population receives better quality care than the comparison population4     Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Hospital admissions for long term complications of diabetes per 100,000 population4 *4 Selected population receives better quality care than the comparison population4     Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Hospital admissions for lower extremity amputations in patients with diabetes per 1,000 population[5] Selected population receives worse quality care than the comparison population Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability      
Key to Quality of Health Care Tables
Selected population and comparison population receive about same quality of health care: Selected population and comparison population receive about same quality of health care
Selected population receives better quality care than the comparison population: Selected population receives better quality care than the comparison population
Selected population receives worse quality care than the comparison population: Selected population receives worse quality care than the comparison population
Data are collected but do not meet criteria for statistical reliability: Data are collected but do not meet criteria for statistical reliability

[1] Compared with whites.

[2] Compared with non-Hispanic whites.

[3] Source: MEPS, 2000. This source did not collect information on Asians and NHOPIs separately but in aggregate as Asian or Pacific Islander. This source did not collect information for >1 race.

[4] Source: HCUP SID 16 state database, 2000. This source categorizes race/ethnicity very differently from other sources. Race/ethnicity information is categorized as a single item: Non-Hispanic white, Non-Hispanic black, Hispanic, Asian or Pacific Islander. These contrasts compare each group with non-Hispanic whites. An * is inserted in the Black column to indicate that estimates for this group could not be produced.

[5] Source: NHDS, 1998-2000. This source did not collect information for >1 race. Missing rates preclude analysis by ethnicity.

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