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American Journal of Medical Quality, Vol. 23, No. 1, 60-65 (2008)
DOI: 10.1177/1062860607307998

Differences in Quality of Diabetes Care Between Jews and Arabs in Jerusalem

Amit Tirosh, BMed

The Hebrew University of Jerusalem, Faculty of Medicine, Jerusalem, Israel, tiroshamit{at}gmail.com

Ronit Calderon-Margalit, MD, MPH

The Hadassah-Hebrew University Braun School of Public Health and Community Medicine, Jerusalem, Israel

Marianna Mazar, MD

Clalit Health Services, Israel

Zvi Stern, MD

Hadassah-Hebrew University Hospital Mount Scopus, Jerusalem, Israel

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)

Key Words: diabetes • quality • Arabs • Jews


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