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Racial and Ethnic Disparities in Blood Pressure and Glycemic Control in the US Community Health Center Patient Population.
- Source :
- Journal of Primary Care & Community Health; 1/27/2024, p1-10, 10p
- Publication Year :
- 2024
-
Abstract
- Objective: To describe blood pressure and glycemic control by racial/ethnic group in the US Community Health Center (CHC) patient population, and whether center characteristics, proxying for higher resource levels and better quality of care, were associated with greater rates of controlled cardiometabolic conditions. Methods: Data came from the Uniform Data System, representing aggregate patient clinical data for individual health centers in 2019. Descriptive analyses were conducted weighting by health center patient populations to produce race-specific national rates of blood pressure and glycemic control, and linear regression is used to test whether cardiometabolic control rates varied by center characteristics. Results: Hypertension was controlled for 67.2% of non-Hispanic White, 66.9% of Hispanic, and 56.7% of non-Hispanic Black patients. Diabetes was controlled for 70.7% of non-Hispanic White, 65.7% of Hispanic, and 66.1% of non-Hispanic Black patients. The rate of blood pressure control was 2.54 to 3.99 percentage points higher across racial/ethnic groups in health centers that adopted a patient-centered medical home (PCMH) model of care relative to non-PCMH centers, while glycemic control was 1.08 to 2.27 pp. higher as a function of PCMH certification. Results for other center characteristics did not show consistent patterns across racial groups or outcomes. Conclusion: This study documented racial and ethnic health disparities in the CHC patient population after major expansion of the CHC program. CHCs with PCMH certification have improved clinical outcomes among patients with hypertension and diabetes across racial/ethnic groups relative to centers without this certification. [ABSTRACT FROM AUTHOR]
- Subjects :
- BLOOD pressure
MEDICAL quality control
HYPERTENSION
CARDIOVASCULAR diseases risk factors
CONFIDENCE intervals
GLYCEMIC control
RESEARCH methodology
COMMUNITY health services
RACE
REGRESSION analysis
DIABETES
PRIMARY health care
COMPARATIVE studies
RESEARCH funding
DESCRIPTIVE statistics
HEALTH equity
BLOOD pressure measurement
DATA analysis software
SYMPTOMS
Subjects
Details
- Language :
- English
- ISSN :
- 21501319
- Database :
- Complementary Index
- Journal :
- Journal of Primary Care & Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 175032631
- Full Text :
- https://doi.org/10.1177/21501319241226766