title: Better care at safety net providers? Utilization of recommended standards of diabetes care for rural Latinos in one Midwestern state.
abstract: Latinos are overrepresented among the uninsured in the U.S., and rural Latinos face a variety of barriers to accessing quality health care. The present study investigated the degree to which Latinos with diabetes living in non-metropolitan towns in the state of Iowa receive the recommended diabetes care services from health care providers vis-à-vis access to care. Four process measures were selected from the American Diabetes Association standards of medical care for diabetes: glycated hemoglobin tests, comprehensive foot examination, dilated eye examination, and cholesterol test. Results from this research found that just over half (54%) of the sample received all four of these diabetes care services. Adjusted logistic regression analysis showed patients were four times more likely to receive the set of four diabetes care services at a community health center than at a private doctor's office. These community clinics deserve additional attention as more Latino immigrants move to the Midwest.
authors.affiliation: Section for International Health, University of Oslo, Oslo, Norway. daniel.james.sadowski@gmail.com
authors.forename: Daniel
authors.initials: D
authors.lastname: Sadowski
authors.forename: Michele
authors.initials: M
authors.lastname: Devlin
authors.forename: Akhtar
authors.initials: A
authors.lastname: Hussain
mesh_terms: D000328:Adult; D000368:Aged; D003151:Community Health Centers / Q000592:standards; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000628:therapy; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D007484:Iowa; D008297:Male; D017057:Medically Uninsured / Q000208:ethnology; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011331:Private Practice / Q000592:standards; D011787:Quality of Health Care; D019035:Rural Health Services / Q000592:standards*