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