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Poor Quality Doctors or Challenging Patients 4.8.08
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Poor Quality Doctors or Challenging Patients 4.8.08
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![Persistently elevated HBA1c: Poor quality doctors or challenging patients? Mark G. Weiner MD, Sam Field PhD, Jennifer Hornung Garvin PhD, John H. Holmes PhD, Marie Synnestvedt PhD , Judith A. Long MD University of Pennsylvania, Philadelphia, PA; Philadelphia VA Medical Center, Philadelphia, PA ,[object Object],[object Object],Hypertension *Hyperlipidemia Connective tissue disease *Lower respiratory tract inf Joint disease *Chest pain Back Problem Nutritional disease Genitourinary disease *Gastrointestinal disease *Upper respiratory infection Skin diagnosis *Nervous system disease Abdominal pain *Osteoarthrosis *Circulatory disease Upper respiratory disease Dysrhythmia *Fatigue *Aftercare *Esophageal disease *Benign neoplasm *Coronary atherosclerosis *Anemia sprain Visual issues *Allergies UTI Dizziness *CHF *Other heart disease *Heart Valve disease *Headache/Migraine *Nausea/vomiting Ear disease Skin infection *Thyroid disorder Female Genital Issues Fluid/Electrolyte imbalances *Joint Injury Top 40 CCS Diagnosis categories (in descending order of frequency) Benign neoplasm Osteoarthrosis **Hyperlipidemia Nausea Anemia Esophageal disease Aftercare Headache Heart disease Upper respiratory inf CHF Heart valve disease **Thyroid disease Allergy **Joint injury **Fatigue Chest pain Circ disease GI disease Coronary atherosclerosis Nerve disease Low respiratory disease Adjusted Odds of Poor Diabetes Control ** Disease categories in which the ratio of the log odds exceeds 1.35 (indicating a larger divergence between the coefficients of the uncentered and the group mean centered models) (* indicates condition included in final models) ,[object Object],[object Object],Future research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Background ,[object Object],Objective ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Methods Results ,[object Object],[object Object],[object Object],[object Object],Conclusions Results](https://image.slidesharecdn.com/weinermark-poorqualitydoctorsorchallengingpatients-4-8-08-100818150755-phpapp01/85/poor-quality-doctors-or-challenging-patients-4808-1-320.jpg)
