Quality of diabetes care in community health centers

Am J Public Health. 2000 Mar;90(3):431-4. doi: 10.2105/ajph.90.3.431.


Objectives: This study assessed the quality of diabetes care in community health centers.

Methods: In 55 midwestern community health centers, we reviewed the charts of 2865 diabetic adults for American Diabetes Association measures of quality.

Results: On average, 70% of the patients in each community health center had measurements of glycosylated hemoglobin, 26% had dilated eye examinations, 66% had diet intervention, and 51% received foot care. The average glycosylated hemoglobin value per community health center was 8.6%. Practice guidelines were independently associated with higher quality of care.

Conclusions: Rates of adherence to process measures of quality were relatively low among community health centers, compared with the targets established by the American Diabetes Association.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Blood Glucose / metabolism
  • Community Health Services / organization & administration*
  • Community Health Services / standards*
  • Diabetes Mellitus* / diagnosis
  • Diabetes Mellitus* / therapy
  • Diabetic Foot / prevention & control
  • Diabetic Retinopathy / prevention & control
  • Diet
  • Exercise
  • Guideline Adherence
  • Humans
  • Middle Aged
  • Midwestern United States
  • Patient Education as Topic
  • Quality of Health Care*


  • Blood Glucose