Table 4.
Utilization rates and frequency of risk factor measurement of individuals with diabetes, hypertension, and hyperlipidemia by achievement of simultaneous control of HbA1c blood pressure, and LDL cholesterol.
Denver Health (n=5,269) | Kaiser Permanente Colorado (n=23,458) | |||||||
---|---|---|---|---|---|---|---|---|
No simultaneous control | Simultaneous control | Total | p-value | No simultaneous control | Simultaneous control | Total | p-value | |
n=4,413 | n=856 | n=5,269 | n=16,341 | n=7,117 | n=23,458 | |||
Annual utilization rates, mean (sd) / median * | ||||||||
Primary care visits | 4.8 (5.2) / 4.0 | 4.9 (3.1) / 4.4 | 4.8 (4.9) / 4.0 | 0.0001 | 6.6 (16.8) / 4.6 | 6.1 (4.3) / 5.2 | 6.4 (14.2) / 4.8 | <.0001 |
Specialty (cardiology, endocrinology, and renal) | 0.4 (1.1) / 0.0 | 0.5 (1.1) / 0.0 | 0.4 (1.1) / 0.0 | <.0001 | 0.6 (1.7) / 0.0 | 1.0 (1.9) / 0.2 | 0.8 (1.8) / 0.0 | <.0001 |
ED visits | 1.0 (3.7) / 0.4 | 0.9 (2.4) / 0.4 | 1.0 (3.5) / 0.4 | 0.82 | 0.5 (1.1) / 0.2 | 0.6 (0.9) / 0.3 | 0.5 (1.1) / 0.2 | <.0001 |
Inpatient visits | 0.4 (1.8) / 0.0 | 0.5 (2.0) / 0.0 | 0.4 (1.8) / 0.0 | 0.13 | 1.1 (3.2) / 0.0 | 1.4 (3.2) / 0.4 | 1.2 (3.2) / 0.18 | <.0001 |
Annual measurement rates, mean (sd) / median * | ||||||||
HbA1c | 2.1 (3.1) / 1.9 | 2.1 (0.9) / 2.0 | 2.1 (3.4) / 1.8 | <.0001 | 2.6 (13.2) / 1.8 | 2.0 (2.3) / 1.9 | 2.8 (15.8) / 1.8 | <.0001 |
Blood pressure | 3.4 (4.5) / 2.5 | 3.5 (2.6) / 2.9 | 3.3 (4.8) / 2.4 | <.0001 | 6.0 (13.7) / 4.4 | 6.0 (4.3) / 5.0 | 6.0 (16.1) / 4.1 | <.0001 |
LDL cholesterol | 1.4 (3.1) / 1.1 | 1.3 (0.6) / 1.2 | 1.4 (3.4) / 1.1 | <.0001 | 2.4 (13.2) / 1.6 | 2.0 (2.3) / 1.8 | 2.5 (15.7) / 1.5 | <.0001 |
Assessed from date when all three conditions were first present until date of last clinical measurement of any of the three conditions