Article Figures & Data
Tables
- Table 1.
Attributes of Patients Receiving Primary Health Care Services from a University-Affiliated Medical Home Model versus a Standard Family Medicine Practice (n = 962)
Overall (N = 962) No medical home (n = 807) Medical home (n = 155) P Value Mean age (years), SD 55.9 (13.5) 56.7 (13.8) 52.1 (10.9) <.0001 Nonwhite race 44.3 (426) 47.1 (380) 29.7 (46) <.0001 Female sex 68.0 (654) 68.6 (554) 64.5 (100) .312 SES index (based on zip code) Lowest 232 (24.1) 204 (25.3) 28 (18.1) Lower middle 151 (15.7) 127 (15.7) 24 (15.5) .011 Upper middle 260 (27.0) 202 (25.0) 58 (37.4) Highest 319 (33.2) 274 (34.0) 45 (29.0) Diabetes diagnosis Prediabetes 44.1 (424) 42.9 (346) 50.3 (78) .087 Diabetes 55.9 (538) 57.1 (461) 49.7 (77) Referral to dietitian/education 15.2 (146) 13.5 (109) 23.9 (37) .001 HbA1c control Controlled 51.8 (498) 50.2 (405) 60.0 (93) .081 Uncontrolled 29.5 (284) 30.5 (246) 24.5 (38) Unknown 18.7 (180) 19.3 (156) 15.5 (24) HbA1c tested 88.5 (851) 87.7 (708) 92.3 (143) .106 Cholesterol tested 82.7 (796) 82.2 (663) 85.8 (133) .271 Microalbumin tested 45.8 (441) 45.5 (367) 47.7 (74) .604 Patients with high service utilization (top 25%) 50.8 (489) 48.7 (393) 61.9 (96) .003 Chronic diseases Vascular disease 23.8 (229) 25.4 (205) 15.5 (24) .008 Hyperlipidemia 51.0 (491) 50.9 (411) 51.6 (80) .876 Hypertension 68.4 (658) 69.1 (558) 64.5 (100) .256 Obesity 75.2 (723) 73.6 (594) 83.2 (129) .011 Smoking status Never 56.8 (546) 56.6 (457) 57.4 (89) .968 Past (quit) 25.8 (248) 25.8 (208) 25.8 (40) Current 17.4 (168) 17.6 (142) 16.8 (26) Data are % (n) unless otherwise indicated.
SD, standard deviation; SES, socioeconomic status.
- Table 2.
Characteristics of Family Medicine Patients,* by Referral to Diabetes Education (n = 962)
Characteristic No Referral (n = 816) Referral (n = 146) P Value† Diabetes diagnosis Prediabetes 48.5 (396) 19.2 (28) <.0001 Diabetes 51.5 (420) 80.8 (118) Age (years), mean (SD) 56.2 (13.8) 54.7 (11.9) .215 Nonwhite race 41.2 (336) 61.6 (90) <.0001 Female sex 67.4 (550) 71.2 (104) .361 SES index (based on zip code) Lowest 192 (23.5) 40 (27.4) .001 Lower middle 115 (14.1) 36 (24.7) Upper middle 221 (27.1) 39 (26.7) Highest 288 (35.3) 31 (21.2) Utilization (top 25%) 47.9 (391) 67.1 (98) <.0001 Chronic disease Hyperlipidemia 51.6 (421) 47.9 (70) .417 Hypertension 66.9 (546) 76.7 (112) .019 Vascular Disease 24.0 (196) 22.6 (33) .711 Obesity 72.3 (590) 91.1 (133) <.0001 Testing HbA1c 87.1 (711) 95.9 (140) .002 Cholesterol 81.6 (666) 89.0 (130) .029 Microalbumin 41.3 (337) 71.2 (104) <.0001 HbA1c Control Controlled 55.4 (452) 31.5 (46) Uncontrolled 25.0 (204) 54.8 (80) <.0001 Unknown 19.6 (160) 13.7 (20) Smoking status Never 57.1 (466) 54.8 (547) Past (quit) 26.6 (217) 21.2 (31) .059 Current 16.3 (133) 24.0 (35) - Table 3.
Logistic Regression Models of the Association of Medical Home Status and Referral to Diabetes Education among Family Medicine Patients* (n = 962)
Variable Model 1 (Crude) Model 2 (Adjusted) Medical home 2.01 (1.32–3.06) 2.70 (1.68–4.33) Diabetes diagnosis Prediabetes 1.00 Diabetes 2.17 (1.27–3.70) Nonwhite race 2.20 (1.41–3.42) SES index (based on zip code) Lowest 1.00 Lower middle 1.69 (0.98–2.93) Upper middle 1.07 (0.62–1.84) Highest 0.94 (0.52–1.69) High clinic utilization 1.87 (1.25–2.80) Vascular disease 0.79 (0.50–1.26) HbA1c control Controlled 1.00 Uncontrolled 2.51 (1.54–4.09) Unknown 1.29 (0.72–2.31) Data are odds ratio (95% confidence interval).
↵* Patients had at least 2 visits in 2011–2013, were aged 18 to >80 years, and had prediabetes or diabetes.
SES, socioeconomic status.
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