Table 2.
Patients With Diagnosed Diabetes Receiving Preventive Care Services and Meeting Selected Clinical Outcomes at Baseline and Follow-up, Montana and Wyominga
| Montana, 1997–2004 | ||||||
|---|---|---|---|---|---|---|
|
| ||||||
| Preventive Care Service | Median % (Range) Among Practices | Overall | ||||
|
| ||||||
| Baseline | Follow-up | P | Baseline % (n/N) | Follow-up % (n/N) | P (χ2 1) | |
| HbA1c test in the past year | 76 (40–90) | 78 (39–93) | .90 | 74 (2686/3642) | 77 (4532/5859) | .001 (17.6) |
| Last HbA1c < 8.0% | 64 (50–100) | 73 (25–91) | .01 | 66 (1786/2686) | 75 (3388/4532) | .001 (56.7) |
| LDL-C test in the past year | 51 (13–86) | 52 (25–91) | .04 | 49 (1775/3625) | 59 (3451/5810) | .001 (98.3) |
| Foot examination in the past year | 42 (17–95) | 53 (4–80) | .57 | 45 (1650/3642) | 51 (2992/5859) | .001 (29.8) |
| Dilated retinal examination in the past year | 11 (0–37) | 25 (0–44) | .14 | 14 (514/3642) | 27 (1592/5859) | .001 (222.0) |
| Pneumococcal vaccination ever received | 25 (0–78) | 58 (5–78) | .001 | 26 (963/3642) | 52 (3073/5859) | .001 (621.7) |
|
| ||||||
| Wyoming, 1998–2004 | ||||||
| Preventive Care Service | Median % (Range) Among Practices | Overall | ||||
|
| ||||||
| Baseline | Follow-up | P | Baseline % (n/N) | Follow-up % (n/N) | P (χ2 1) | |
|
| ||||||
| HbA1c test in the past year | 77 (58–100) | 78 (58–99) | .71 | 79 (1239/1566) | 79 (1783/2267) | .90 (56.7) |
| Last HbA1c < 8.0% | 78 (60–90) | 81 (58–91) | .09 | 77 (951/1239) | 81 (1376/1783) | .92 (0.07) |
| LDL-C test in the past year | 60 (41–83) | 63 (33–74) | .91 | 59 (928/1566) | 59 (1334/2267) | .90 (0.07) |
| Foot examination in the past year | 61 (32–100) | 52 (3–100) | .23 | 68 (1066/1566) | 58 (1319/2267) | .003 (38.5) |
| Dilated retinal examination in the past year | 13 (0–72) | 16 (0–47) | .95 | 22 (351/1566) | 22 (507/2267) | .98 (0.00) |
| Pneumococcal vaccination ever received | 49 (0–90) | 56 (11–90) | .002 | 45 (707/1566) | 54 (1230/2267) | .001 (38.8) |
a
Includes primary care practices participating in the state diabetes quality-improvement program for 6 or more months (n = 37).