Differences in quality of diabetes care between Jews and Arabs in Jerusalem

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
Amit TiroshZvi Stern

Abstract

To evaluate whether differences exist in the quality of diabetes care delivered to the Arab and Jewish populations in Jerusalem. A cross-sectional study was conducted in West Jerusalem's 4 major hospitals. Participants were patients with type 2 diabetes mellitus, 45 to 75 years of age, who were insured by Israel's largest health maintenance organization (HMO) and admitted to an emergency room (ER) between May and June 2004 for any medical cause. Hospital files were reviewed, patients were interviewed, and computerized data were retrieved from the HMO's database. Arab patients received less nutritional counseling (odds ratio [OR] = 0.46; 95% CI = 0.24-0.85; P = .013), fewer recommendations about and less support in performing physical activities (OR = 0.42; 95% CI = 0.24-0.74; P = .003), and less guidance in performing self foot examinations (OR = 0.55; 95% CI = 0.32-0.96; P = .035). Arab patients in Jerusalem receive lower quality diabetes care compared with Jewish residents.

References

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Citations

Apr 15, 2010·Disaster Medicine and Public Health Preparedness·Jennifer R DavisErik R Svendsen
Jan 1, 2014·Israel Journal of Health Policy Research·Asaf Bitton, Sagar B Dugani
Dec 16, 2020·International Journal of Environmental Research and Public Health·Nisreen AgbariaDonna R Zwas
Sep 5, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Shani ShamirYonit Wiener-Well

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