The Association between Quality of Care and the Intensity of Diabetes Disease Management Programs

View larger version (36K): [in a new window]   Figure. Description of sampling and response rate. *Patients receiving care in one of the Translating Research into Action for Diabetes (TRIAD) study health plans and whose diabetes diagnosis was based on the following criteria: a diagnostic code for diabetes (for example, 2 or more outpatient visits with International Classification of Diseases, Ninth Revision, code 250.xx) or 1 or more inpatient stays with an associated diabetes code; results of laboratory studies suggestive of diabetes (for example, 2 or more hemoglobin A1c tests or diagnostic levels of hemoglobin A1c or fasting blood glucose); or a prescription for medications for diabetes (for example, insulin or an oral antidiabetic agent). At the time of the survey, patients who met the initial criteria were included only if they verified that they had diabetes and received most of their diabetes care through the participating TRIAD health plan. Participants cared for under direct contracting agreements with health plans rather than in physician groups were assigned a value of 0 for each care management strategy at the physician group level.

View this table: [in a new window]   Appendix Table 1. Descriptive Statistics for Each Clinical Care Strategy Composite

View this table: [in a new window]   Appendix Table 2. Adjusted Association of Physician Group Disease Management with Quality Indicators, Intermediate Outcome Levels, and Medical Management of Intermediate Outcomes (Third, Second, and First Tertiles)*