Quality of care and outcomes for first nations people and non-first nations people with diabetes mellius
Date
2012
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Background: First Nations People experience higher rates of chronic kidney disease (CKD) and mortality compared to non-First Nations People. We examined the two groups for differences in quality of care and associations with renal failure and death.
Methods: Adults with diabetes were identified through administrative data from 2005 to 2008. Differences in four diabetic quality indicators [proteinuria, LDL, hemoglobin AlC
(HbAlC), creatinine] were assessed during a one year period. Differences in renal failure and death were also assessed.
Results: For those without CKD, First Nations People were less likely to receive all four quality indicators and to achieve the HbAlC target. Rates of renal failure and death were higher for First Nations People, and were associated with lack of measurement (LDL) and levels above target (HbAlC).
Conclusion: Differences in quality of care between First Nations and non-First Nations People with diabetes exist, and may contribute to worse clinical outcomes.
Description
Bibliography: p. 72-78
Keywords
Citation
Deved, V. (2012). Quality of care and outcomes for first nations people and non-first nations people with diabetes mellius (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/4834