Linguistic Disparities in Diabetes Care Quality in California Community Health Centers Before and During the COVID-19 Pandemic

Autor: Oscar V. Ramos, Timothy T. Brown, Hector P. Rodriguez
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Primary Care & Community Health, Vol 15 (2024)
Druh dokumentu: article
ISSN: 2150-1327
21501319
DOI: 10.1177/21501319241229018
Popis: Background: Disparities in diabetes care quality may have increased for patients with limited English language proficiency (LEP) compared to non-LEP patients during the COVID-19 pandemic. Changes in diabetes care quality for adult LEP and non-LEP patients of community health centers (CHCs) were examined from 2019 to 2020. Methods: Adults with Type 2 diabetes (n = 15 965) of 88 CHC sites in California and with 1+ visit/year in 2019 and 2020 from OCHIN electronic health record data were included. Multivariable regression models estimated the association of LEP status and changes in diabetes care quality from 2019 to 2020, controlling for patient sociodemographic and clinical characteristics. Interaction terms (LEP × 2020) were used to estimate differential over time changes in (1) blood pressure screening, (2) blood pressure control (
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