We used a collective impact model to form a statewide diabetes quality improvement collaborative to improve diabetes outcomes and advance diabetes health equity. Between 2020 and 2022, in collaboration with the Ohio Department of Medicaid, Medicaid Managed Care Plans, and Ohio's seven medical schools, we recruited 20 primary care practices across the state. The percentage of patients with hemoglobin A1c greater than 9% improved from 25% to 20% over two years. Applying our model more broadly could accelerate improvement in diabetes outcomes. ( 2023;113(12):1254-1257. https://doi.org/10.2105/AJPH.2023.307410).
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10632832 | PMC |
| http://dx.doi.org/10.2105/AJPH.2023.307410 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Prevalence of GLP-1 medication exposure prior to, during, and after pregnancy using state-wide data from 2017 to 2023.
Am J Obstet Gynecol MFM
January 2025
Department of Obstetrics and Gynecology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030. Electronic address:
Unplanned Cesarean for Abnormal or Indeterminate Fetal Heart Tracing Varies Significantly by Race and Ethnicity.
J Midwifery Womens Health
December 2024
Department of Obstetrics and Gynecology, University of Michigan Health, Ann Arbor, Michigan.
Introduction: The US maternity care system achieves worse outcomes for birthing people identifying as Black versus White. Assessment of fetal well-being in labor is an area of perinatal care subject to significant interobserver variability and therefore may be at particular risk of medical racism influencing care.
Methods: Statewide collaborative quality initiative data, focused on decreasing the nulliparous, term, singleton, vertex (NTSV) cesarean birth rate, were used to conduct a retrospective cohort study to assess differences in cesarean birth for nonreassuring fetal status between birthing people identifying as Black compared with White.
Neighbourhood Deprivation and Gestational Diabetes Mellitus in Arizona From the AzPEARS Study.
Paediatr Perinat Epidemiol
December 2024
Department of Environmental Health Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA.
Article Synopsis
- High-Risk Areas
- : Mothers living in rural areas, tribal lands, or near the U.S.-Mexico border are at an elevated risk for gestational diabetes mellitus (GDM), particularly influenced by their neighbourhood's socioeconomic status (SES).
- Study Analysis
- : This study used Arizona birth records from 2014 to 2020 to analyze over 481,000 births, finding that neighbourhood deprivation significantly correlates with increased GDM risk, especially among Native American and Hispanic/Latina mothers.
- Key Findings
- : The research revealed that mothers in the most deprived neighbourhoods had a 21% higher risk of developing GDM compared to those in less deprived areas, highlighting the impact of socioeconomic
Hypertensive Disorders in Pregnancy: Differences by Hispanic Ethnicity and Black Race.
J Racial Ethn Health Disparities
November 2024
Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, USA.
Objective: Black individuals carry the greatest burden of maternal mortality, with hypertensive disorders during pregnancy being a significant driving force to this disparity. However, research on maternal health disparities predominantly groups Hispanic Black individuals with all other individuals of Hispanic ethnicity. We hypothesized that this aggregation might obscure the risk patterns of hypertensive disorders in pregnancy for Hispanic-Black and non-Hispanic Black individuals.
View Article and Find Full Text PDFResuscitation of people with a do-not-resuscitate order: when does it happen and what are the outcomes?
Resuscitation
October 2023
Ambulance Victoria, 31 Joseph St Blackburn North VIC 3130; School of Public Health & Preventive Medicine, Monash University, 553 St Kilda Rd Melbourne VIC 3004.
Article Synopsis
- The study examines the use of do-not-resuscitate (DNR) orders in patients aged 60 and older during out-of-hospital cardiac arrests (OHCA) in Victoria, Australia, over a 15-year period.
- Of the 47,322 older patients, only 5.7% had DNR orders, and only 12.4% of those orders were communicated to emergency services.
- Bystanders initiated resuscitation in 40% of cases, but only a small fraction of patients transported to the hospital survived, highlighting the need for better communication and respect for patients' wishes regarding DNR orders.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!