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Cited by 7Diabetes Management and EducationHealthcare Quality and ManagementPrimary Care and Health Outcomes

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Effects of Quality Improvement Strategies for Type 2 Diabetes in Bronx,N.Y.

Boucai, Laura, Zonszein, Joel·2007·Clinical Diabetes
DOI 10.2337/diaclin.25.4.155
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Abstract

Improving care of people with diabetes has become a major goal for many institutions. This is particularly important in the Bronx because we deal with a large underserved population of ethnic/racial minorities that is susceptible to more diabetes and further complications. Montefiore Medical Center already has in place many resources, such as multidisciplinary diabetes workgroups committed to implementing quality improvement (QI) projects. To carry on such endeavors, a complex and well-designed administrative support system is required from the executive office. The QI committees rely on step-by-step methodologies to define a series of factors that occur systematically and result in improved care. The large population with diabetes is cared for mainly by primary care physicians (PCPs) that are part of a large sophisticated health care system. Because of both the complexity and diversity of the population, several programs are tailored to the needs of specific subgroups. The implementation of different interventions and their effectiveness and cost must be properly assessed. Thus, QI projects are necessary to provide meaningful information that can be used for improving these health care systems and the patient care they provide. In this article, we describe the population of the Bronx, the structure and programs that are dedicated to diabetes at Montefiore, and our information technology (IT) system and how it can be used for QI programs. We also provide an example of how the system is being used. Although the Bronx is only one borough in New York City, its population is larger than all but five U.S. cities. This is a vibrant and younger population of diverse racial/ethnic backgrounds. Data from the U.S. Census Bureau, year 2000, illustrate how the Bronx statistics compare to national statistics. Average population age in the Bronx is 33.27 years versus 36.22 years nationally (71% are < 44 years of …

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Crossref · 10.2337/diaclin.25.4.155

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  • Imprecision was assessed as not serious, as the effect size was statistically significant, and the MD and lower confidence limit were both clinically relevant and comparable with expected effects for other quality improvement strategies.

    “Second, imprecision was assessed as not serious, as the effect size was statistically significant, and the MD and lower confidence limit (MD = −0.415, 95% CI = −0.482% to −0.348%) were both clinically relevant, and all were comparable with expected effects for other quality improvement strategies, 287 which is also why no upgrading due to large effects was conducted.”

    From The Effectiveness of Telemedicine Solutions for the Management of Type 2 Diabetes: A Systematic Review, Meta-Analysis, and Meta-Regression (2023) · cites this paper as [287]

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Metadata

Authors
Boucai, L., & Zonszein, J.
Affiliations
Yeshiva University (US)
ORCID
Venue
Clinical Diabetes
Publisher
American Diabetes Association
Published
2007-10-01
Volume
25
Issue
4
Pages
155-159
ISSN
  • 0891-8929 (ISSN-L)
  • 1945-4953
DOI
10.2337/diaclin.25.4.155
OpenAlex
W2106440919
Cited by
6
References
5
Citations by year
2021: 1 · 2017: 1 · 2012: 2
FWCI
0.24
Type
journal article
Language
en
Open access
closed
Locations
Clinical Diabetes (publishedVersion)
Funders
National Institutes of Health
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
  • Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Keywords
type 2 diabetes, quality improvement, Bronx, underserved populations, racial and ethnic minorities, primary care, health information technology, diabetes management program, Montefiore Medical Center, diabetes complications

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