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SANTA MONICA, Calif. -- Women are less likely to achieve good control of both heart disease and diabetes than men because they get lower quality care, researchers here reported.
SANTA MONICA, Calif., May 14 -- Women are less likely to achieve good control of both heart disease and diabetes than men because they get lower quality care, researchers here reported.
Diabetic women enrolled in Medicare managed care plans were 19% less likely to achieve LDL control compared with men and women enrolled in commercial managed care plans were about 16% less likely to have cholesterol under control, according to a RAND study published in the May/June issue of the journal Women's Health Issues.
The authors used Health Employer Data and Information Set (HEDIS) measures to assess quality of care for patients enrolled in 10 commercial managed care plans and nine Medicare plans.
Chloe E. Bird, Ph.D., a RAND sociologist, and colleagues tracked 11 measures:
The researchers analyzed 1999 claims data from 15,252 Medicare patients and 34,981 patients with commercial health coverage. Fifty-three percent of the Medicare patients and 45% of the commercial plan patients were women.
Among the findings: