Differences in quality of diabetes care between Jews and Arabs in Jerusalem

Amit Tirosh*, Ronit Calderon-Margalit, Marianna Mazar, Zvi Stern

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Aims. To evaluate whether differences exist in the quality of diabetes care delivered to the Arab and Jewish populations in Jerusalem. Methods. A cross-sectional study was conducted in West Jerusalem's 4 major hospitals. Participants were patients with type 2 diabetes mellitus, 45 to 75 years of age, who were insured by Israel's largest health maintenance organization (HMO) and admitted to an emergency room (ER) between May and June 2004 for any medical cause. Hospital files were reviewed, patients were interviewed, and computerized data were retrieved from the HMO's database. Results. Arab patients received less nutritional counseling (odds ratio [OR] = 0.46; 95% CI = 0.24-0.85; P =.013), fewer recommendations about and less support in performing physical activities (OR = 0.42; 95% CI = 0.24-0.74; P =.003), and less guidance in performing self foot examinations (OR = 0.55; 95% CI = 0.32-0.96; P =.035). Conclusions. Arab patients in Jerusalem receive lower quality diabetes care compared with Jewish residents. (Am J Med Qual 2008;23:60-65).

Original languageEnglish
Pages (from-to)60-65
Number of pages6
JournalAmerican Journal of Medical Quality
Volume23
Issue number1
DOIs
StatePublished - Jan 2008
Externally publishedYes

Keywords

  • Arabs
  • Diabetes
  • Jews
  • Quality

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