Differences in rates of diabetes-related lower extremity amputations represent one of the largest and most persistent health disparities found for African Americans and Hispanics compared with Whites in the United States. Since many minority patients receive care in underresourced settings, quality improvement (QI) initiatives in these settings may offer a targeted approach to improve diabetes outcomes in these patient populations. Health information technology (health IT) is widely viewed as an essential component of health care QI and may be useful in decreasing diabetes disparities in underresourced settings. We reviewed the effectiveness of health care interventions using health IT to improve diabetes process of care and intermediate diabetes outcomes in African American and Hispanic patients. We found that health IT interventions have addressed patient, provider, and system challenges in the provision of diabetes care but require further testing in minority patient populations to evaluate their effectiveness in improving diabetes outcomes and reducing diabetes-related complications.
Agency for HealthcareResearch and Quality (AHRQ contract P233200900421P)
National Institutes of Diabetes and Digestive and Kidney Diseases (NIDDK) Diabetes Research and Training Center (P60 DK20595)
NIDDK Midcareer Investigator Award in Patient-Oriented Research (K24 DK071933)
Dr. Baig’s effort was also supported by a National Center on Minority Health and Health Disparities Loan Repayment Grant.
Dr. Peek is supported by career development awards from the Robert Wood Johnson Foundation (RWJF) Harold Amos Medical Faculty Development program and the NIDDK (K23 DK075006).