PMID: 15220223Jun 29, 2004Paper

Managed care organization and the quality of diabetes care: the Translating Research Into Action for Diabetes (TRIAD) study

Diabetes Care
Catherine KimTranslating Research Into Action for Diabetes (TRIAD) Study

Abstract

To examine the association between the organizational model and diabetes processes of care. We used data from the Translating Research into Action for Diabetes (TRIAD), a multicenter study of diabetes care in managed care, including 8354 patients with diabetes. We identified five model types: for-profit group/network, for-profit independent practice association (IPA), nonprofit group/network, nonprofit IPA, and nonprofit group/staff. Process measures included retinal, renal, foot, lipid, and HbA(1c) testing; aspirin recommendations; influenza vaccination; and a sum of these seven processes of care over 1 year. Hierarchical regression models were constructed for each process measure and accounted for clustering at the health plan and provider group levels and adjusted for participant age, sex, race, ethnicity, diabetes treatment and duration, education, income, health status, and survey language. Participant membership in the model types ranged from 9% in nonprofit IPA models to 38% in nonprofit group/staff models. Over 75% of participants received most of the processes of care, regardless of model type. However, among for-profit plans, group/network models provided on average more processes of care than IPA models (5.5 vs. 4.7,...Continue Reading

References

Jan 1, 1990·Epidemiology·K J Rothman
Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
Jun 1, 1993·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·J BrazierP Kind
Jul 20, 1999·JAMA : the Journal of the American Medical Association·D U HimmelsteinS M Wolfe
Jan 25, 2000·Health Affairs·J Blustein, E C Hoy
Feb 24, 2000·JAMA : the Journal of the American Medical Association·S VijanR A Hayward
Apr 12, 2000·Journal of General Internal Medicine·J B Meigs, R S Stafford
Aug 5, 2000·Health Affairs·R J BlendonM James
Apr 17, 2002·Annals of Internal Medicine·Jinan B SaaddineK M Venkat Narayan
Apr 26, 2002·The New England Journal of Medicine·Ha T Tu, James D Reschovsky
Sep 24, 2002·JAMA : the Journal of the American Medical Association·Danny McCormickDavid H Bor
Jan 22, 2003·JAMA : the Journal of the American Medical Association·Lawrence CasalinoMargaret C Wang
May 20, 2003·Journal of the American Geriatrics Society·Arleen F BrownCarol M Mangione

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Citations

Mar 21, 2007·Journal of General Internal Medicine·Catherine KimSusan L Ettner
Jan 10, 2009·Journal of General Internal Medicine·Usha SubramanianDavid G Marrero
Sep 15, 2006·Journal of General Internal Medicine·George L JacksonMorris Weinberger
Oct 1, 2013·Journal of the American Medical Informatics Association : JAMIA·Brian E DixonDavid G Marrero
Dec 12, 2012·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Tien-Jyun ChangLee-Ming Chuang
Apr 29, 2005·Diabetes/metabolism Research and Reviews
Aug 10, 2005·Diabetes Research and Clinical Practice·Fen-Yu TsengCheng-Ching Lin
Jun 29, 2005·Diabetes Care·Catherine KimWilliam H Herman
Nov 11, 2005·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Priscilla HollanderDavid J Ballard
Sep 23, 2021·Endocrine Reviews·Emily N ManoogianSatchidananda Panda
Jun 17, 2006·Joint Commission Journal on Quality and Patient Safety·Amer A Kaissi, Michael Parchman
Mar 14, 2007·Diabetes Care·A Marshall McBean, Xinhua Yu

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