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Abstract

Health care disparities exist throughout the United States. MetaStar, the Quality Improvement Organization (QIO) for Wisconsin, has developed a project designed to define, study, and reduce an identifiable health care disparity in Wisconsin. A disparity of 17% exists between the rate that African-American Medicare beneficiaries with diabetes and non-African-American Medicare beneficiaries receive lipid panel tests in Wisconsin. This article reviews the various methods that MetaStar has used to learn about this disparity, the African-American community, and the providers who serve this population. In addition, interventions developed from the information gathered through the learning activities are briefly described.

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References

American Diabetes Association (2001). Diabetes Sunday. See: http://www.diabetes.org/main/community/outreach/AfricanAmericans/Sunday.isp.

American Heart Association (2001). “Ethnicity Increases Heart Attack Risk for African-Americans.” See: www.americanheartorg/WhatsNews/AHANewRelease/ethnic.htm.

Baranowski

Tom

, Perry

Cheryl L.

, and Parcel

Guy S.

(1997). “How Individuals, Environments, and Health Behavior Interacts: Social Cognitive Theory,” in Glanz

Karen

(eds.) Health Behavior and Health Education: Theory, Research and Practice, 2nd Ed. San Francisco: Jossey Bass.

Briscoe

Vanessa J.

and Pichert

James W.

(1998). “Evaluation of a Program to Promote Diabetes Care via Existing Agencies in African-American Communities.” ABNF Journal 10 (September/October): 111–115.

Chin

Marshall H.

, Zhang

James X.

, and Merrell

Katie

(1998). “Diabetes in the African-American Medicare Population.” Diabetes Care 21 (July):1090–1095.

Engelgau

M.M.

. (1998). “A Project to Reduce the Burden of Diabetes in the African-American Community: Project DIRECT.” Journal of the National Medical Association 90:605–613.

Simmons

D.J.

. (1997). “Community-based Approaches for the Primary Prevention of Non-insulin Dependent Diabetes Mellitus.” Diabetic Medicine 14:519–526.

Steinberg

and Gotto

A.M.

(1999). “Preventing Coronary Artery Disease by Lowering Cholesterol Levels: Fifty Years from Bench to Bedside.” Journal of the American Medical Association 282:2043–2050.

U.S. Department of Health and Human Services (2000). Healthy People 2010: Understanding and Improving Health and Objectives for Improving Health, 2 vols. Washington, D.C.: Government Printing Office.

Reducing Disparities in Lipid Testing for African-Americans with Diabetes: Interim Report

Abstract

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References