PMID- 14977021
OWN - NLM
STAT- MEDLINE
DCOM- 20040319
LR  - 20170214
IS  - 1062-8606 (Print)
IS  - 1062-8606 (Linking)
VI  - 19
IP  - 1
DP  - 2004 Jan-Feb
TI  - Quality of care for hypertension and diabetes in federal- versus 
      commercial-managed care organizations.
PG  - 19-24
AB  - Initiatives to improve quality in primary care include use of performance 
      measures to benchmark health care organizations. We looked for an objective way 
      to compare primary care quality in the Veterans Affairs (VA) with that of private 
      sector. We analyzed performance measures of the Health Plan and Employer Data 
      Information Set (HEDIS) used in ambulatory care for hypertension and diabetes and 
      compared a sample data from a network of VA hospitals with those from National 
      Committee for Quality Assurance's The State of Health Care Quality 2002 Report. 
      The VA data were comparable to the national data. Performance on the hypertension 
      control measure was slightly below the HEDIS national average but better than the 
      regional commercial average. VA's performance on all diabetes measures was 
      higher. Although the VA network had a large influx in patient base recently, the 
      quality of outpatient care in hypertension and diabetes as measured by 
      standardized performance indicators in the network compared favorably with 
      commercial Health Maintenance Organizations in the private sector.
FAU - Singh, Hardeep
AU  - Singh H
AD  - Section of Primary Care, VA Medical Center, Houston, TX 77030, USA. 
      hardeeps@bcm.tmc.edu
FAU - Kalavar, J
AU  - Kalavar J
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Netherlands
TA  - Am J Med Qual
JT  - American journal of medical quality : the official journal of the American 
      College of Medical Quality
JID - 9300756
SB  - IM
MH  - Diabetes Mellitus/*therapy
MH  - Health Services Research
MH  - Humans
MH  - Hypertension/*therapy
MH  - Managed Care Programs/*organization & administration/standards
MH  - *Primary Health Care
MH  - *Private Sector
MH  - *Public Sector
MH  - *Quality of Health Care
MH  - United States
EDAT- 2004/02/24 05:00
MHDA- 2004/03/20 05:00
CRDT- 2004/02/24 05:00
PHST- 2004/02/24 05:00 [pubmed]
PHST- 2004/03/20 05:00 [medline]
PHST- 2004/02/24 05:00 [entrez]
AID - 10.1177/106286060401900104 [doi]
PST - ppublish
SO  - Am J Med Qual. 2004 Jan-Feb;19(1):19-24. doi: 10.1177/106286060401900104.