HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) An erratum has been published Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (10) Citing Articles via Google Scholar Google Scholar Articles by Roubideaux, Y. Articles by Acton, K. Search for Related Content PubMed PubMed Citation Articles by Roubideaux, Y. Articles by Acton, K. Related Collections Aging Diabetes Quality of Care Native Americans

Yvette Roubideaux, MD, MPH, Dedra Buchwald, MD, Janette Beals, PhD, Denise Middlebrook, PhD, Spero Manson, PhD, Ben Muneta, MD, Steve Rith-Najarian, MD, Ray Shields, MD and Kelly Acton, MD, MPH

Yvette Roubideaux is with the Mel and Enid Zuckerman Arizona College of Public Health, University of Arizona, Tucson. Dedra Buchwald is with the Department of Medicine, University of Washington, Seattle. Janette Beals and Spero Manson are with the Department of Psychiatry, University of Colorado Health Sciences Center, Denver. At the time of the study, Denise Middlebrook was with the Department of Psychiatry, University of Colorado Health Sciences Center, Denver. Ben Muneta is with the Indian Health Service Epidemiology Program, Albuquerque, NM. Steve Rith-Najarian is with the Indian Health Service, Bemidji Area, Cass Lake, Minn, and Ray Shields was with the Indian Health Service, Portland Area, Bellingham, Wash. Kelly Acton is the director of the Indian Health Service National Diabetes Program, Albuquerque, NM.

Correspondence: Requests for reprints should be sent to Yvette Roubideaux, University of Arizona, College of Public Health, 500 N Tucson Blvd, Suite 110, Tucson, AZ 85716 (e-mail: yvetter{at}u.arizona.edu).

Objectives. This study evaluated the quality of diabetes care for older American Indians and Alaska Natives.

Methods. We analyzed the Indian Health Service Diabetes Care and Outcomes Audit to determine whether completion of indicators of diabetes care differed as a function of age and whether additional patient and program factors were also associated with completion of the majority of the indicators.

Results. Completion rates varied by age group, with significantly lower rates seen among the youngest and oldest. Patient diabetes education and duration of diabetes were most strongly associated with the completion of the majority of these indicators.

Conclusions. Further studies are needed to determine effective interventions, including diabetes education, to improve the quality of diabetes care in the youngest and oldest age groups.

This article has been cited by other articles:

				Y. Roubideaux, C. Noonan, J. H. Goldberg, S. L. Valdez, T. L. Brown, S. M. Manson, and K. Acton Relation Between the Level of American Indian and Alaska Native Diabetes Education Program Services and Quality-of-Care Indicators Am J Public Health, November 1, 2008; 98(11): 2079 - 2084. [Abstract] [Full Text] [PDF]

				J. B. Saaddine, B. Cadwell, E. W. Gregg, M. M. Engelgau, F. Vinicor, G. Imperatore, and K. M. V. Narayan Improvements in Diabetes Processes of Care and Intermediate Outcomes: United States, 1988-2002 Ann Intern Med, April 4, 2006; 144(7): 465 - 474. [Abstract] [Full Text] [PDF]