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Table 4 Comparison of medical assistant vs. control group arm on overtime changes on diabetes processes of care and intermediate outcomes of care

From: The impact of integrating medical assistants and community health workers on diabetes care management in community health centers

 

Medical Assistant (MA) Arm (n = 644)

MA Control Group Arm (n = 2315)

 

Pre

Post

Over Time

Pre

Post

Over Time

Difference-in-Difference

Glycated hemoglobin (HbA1c) tested (%, 95 CI)

96.1 (92.3, 99.9)

97.1 (94.1, 100)

1.0 (− 1.1, 3.0)

88.0 (83.4, 92.6)

93.8 (91.2, 96.4)

5.8 (3.3, 8.2)***

−4.8 (− 8.0, − 1.7)**

HbA1c controlled below 8.0% (%, 95 CI)

87.4 (83.7, 91.3)

88.0 (84.2, 91.9)

0.6 (− 3.2, 4.4)

91.9 (90.5, 93.4)

90.8 (89.3, 92.4)

−1.1 (− 2.4, 0.2)

1.7 (− 2.3, 5.7)

Low density lipoprotein cholesterol (LDL-C) tested (%, 95 CI)

96.8 (93.3, 100)

97.2 (94.2, 100)

0.4 (− 1.4, 2.3)

92.4 (89.1, 95.8)

95.0 (92.6, 97.3)

2.5 (1.0, 4.1)**

− 2.2 (− 4.5, 0.0)

LDL-C- controlled below 100 mg/dL (%, 95 CI)

47.6 (39.7, 55.4)

56.0 (47.9, 64.1)

8.4 (0.8, 16.0)*

65.4 (61.6, 69.2)

68.5 (64.8, 72.2)

3.1 (0.2, 6.0)*

5.3 (− 2.8, 13.4)

Blood Pressure- controlled below 140/90 mmHg (%, 95 CI)

65.1 (49.0, 81.2)

69.0 (53.7, 84.3)

3.9 (− 2.0, 9.8)

64.2 (56.6, 71.8)

65.3 (57.8, 72.8)

1.1 (− 1.4, 3.6)

2.8 (− 3.6, 9.2)

  1. Note: Control variables used for adjustment: patient age, sex, and insurance status. Bold denotes statistically significant (p < 0.05) differences between the intervention and control group. Statistically significant differences are denoted in the following manner: * p < 0.05, ** p < 0.01, ***p < 0.001