Type 2 diabetes is a common health problem that requires continuing medical care, self-management, and education. However, different populations experience diabetes and diabetes-related care differently. This study examined diabetes care and health outcomes at a Midwest community health clinic serving the uninsured. Two waves of data were obtained from medical records. Wave 1 consisted of 88 medical records of people who were diagnosed with type 2 diabetes and also had previous medical record reviews regarding routine diabetes care and outcomes. Wave 2 consisted of in-depth review of 20 medical records of male patients, diagnosed with type 2 diabetes, whose primary language was either Spanish or English. Wave 2 data collection utilized the list of medical records from Wave 1. Statistical analyses utilized non-parametric tests, due to the small sample size. Research questions compared the quality of diabetes care and related health outcomes for Spanish-speaking and English-speaking patients, as recorded in the medical record. Spanish-speaking patients were found to be patients at the clinic for a longer period, have poorer glycemic control, and be less adherent to medication recommendations. A few results from Wave 1 varied from those of Wave 2, including emergency department visits and hospitalizations related to diabetic complications. These conflicting results reflect conflicting outcomes in research, showing the need for further research. Additional research should address reasoning behind these disparities so as to better address them in the future.
Nursing | Public Health and Community Nursing
Manninen, Emily R. and Searing, Faculty Advisor, Lisabeth, "Examining Disparities in Care in an Uninsured, Diabetic Population" (2013). Honors Projects. Paper 43.