Hypothesis 2: Odds Ratios and Confidence Intervals Describing the Relationship between Chronic Care Model Implementation and Diabetes Care and Behavioral Counseling for Overweight/Obese Patients for Practice with Low and High Levels of Openness to Innovation*
| Patient Services | Openness to Innovation among Practices (odds ratio [CI]) | |
|---|---|---|
| Low | High | |
| Patients with diabetes (n = 196) | ||
| Assessment† | 1.52 (0.79–2.92) | 1.84 (1.02–3.32) |
| Treatment‡ | 2.09 (0.77–5.66) | 2.06 (1.27–3.34) |
| Target (at least 2 out of 3)§ | 1.19 (0.51–2.76) | 1.71 (0.13–2.58) |
| Diet or weight loss counseling | 1.27 (0.71–2.26) | 1.19 (0.73–1.95) |
| Physical activity counseling | 1.17 (0.73–1.87) | 1.30 (0.91–1.87) |
| Obese or overweight patients (with or without diabetes; n = 491) | ||
| Diet or weight loss counseling | 1.15 (0.97–1.37) | 1.03 (0.86–1.25) |
| Physical activity counseling | 1.30 (0.94–1.79) | 1.60 (1.23–2.09) |
* Odds ratios represent the odds of appropriate service for patients within practices at the 75th percentile versus the 25th percentile of implementation of either the comprehensive Chronic Care Model or its components.
† Glycated hemoglobin (HbA1c) assessed within the last 6 months, low-density lipoprotein (LDL) assessed within the last 12 months, and blood pressure (BP) checked during each of the last 3 visits.
‡ HbA1c<7.0 or HbA1c ≥7.0 and taking hypoglycemic medication; LDL ≤100 or LDL >100 and taking lipid-lowering medication; and BP ≤130/85 or, if not, then taking hypertensive medication.
§ HbA1c<7.0; LDL ≤100; and BP ≤130/85.