tailieunhanh - báo cáo khoa học: " Patient complexity in quality comparisons for glycemic control: An observational study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Patient complexity in quality comparisons for glycemic control: An observational study | Implementation Science BioMed Central Research article Patient complexity in quality comparisons for glycemic control An observational study Monika M Safford 1 Michael Brimacombe2 3 Quanwu Zhang2 Mangala Rajan2 MingeXie2 4 Wesley Thompson2 4 John Kolassa2 4 Miriam Maney2 and Leonard Pogach2 Address 1Deep South Center on Effectiveness at Birmingham VA Medical Center and University of Alabama at Birmingham Birmingham AL USA 2VA New Jersey Healthcare System East Orange NJ USA 3University of Medicine and Dentistry of New Jersey-New Jersey Medical School Newark NJ USA and 4Rutgers University Piscataway NJ USA Email Monika M Safford - msafford@ Michael Brimacombe - brimacmb@ Quanwu Zhang - Mangala Rajan - Minge Xie - mxie@ Wesley Thompson - wesleyt@ John Kolassa - kolassa@ Miriam Maney - Leonard Pogach - Corresponding author Open Access Published 6 January 2009 Received 19 December 2006 Implementation Science 2009 4 2 doi l 748-5908-4-2 Accepted 6 January 2009 This article is available from http content 4 1 2 2009 Safford et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Patient complexity is not incorporated into quality of care comparisons for glycemic control. We developed a method to adjust hemoglobin A1c levels for patient characteristics that reflect complexity and examined the effect of using adjusted Alc values on quality comparisons. Methods This cross-sectional observational study used 1999 national VA US Department of Veterans Affairs