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Integrated Care for Veterans with Diabetes and Serious Mental Illness5.14.08
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Integrated Care for Veterans with Diabetes and Serious Mental Illness5.14.08
1.
![Integrated Care for Veterans with Diabetes (DM) & Serious Mental Illness (SMI) J.A. Long 1,2 ; S.C. Marcus 2 1 VA Center for Health Equity Research and Promotion, Philadelphia, PA; 2 University of Pennsylvania, Philadelphia, PA. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Objectives ,[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],Conclusions ,[object Object],Policy Implications Integrated Care in the PVAMC ,[object Object],[object Object],[object Object],[object Object],DM 250 ICD-9CM HbA1c 2003-2006 Hypoglycemic Rx HS500,HS501, HS502 Limitations/Planned Future Work ,[object Object],[object Object],[object Object],[object Object],Table 1: Population Characteristics SMI Not Integrated SMI Integrated No SMI n 385 245 8360 Age, y ± SD 59 ± 9.9 58 ± 8.4 69 ± 11.3 Male, % 94 97 98 White,% 15 23 13 Black,% 32 38 18 Race Unkn.% 51 36 68 Other race,% 2 3 1 Insulin, % 19% 7% 15% Table 2: Outcomes by Site of Care MPR ≥80% MPR≥50% HbA1c SMI Not Integrated 43% 66% 7.8 ±2.1 SMI Integrated 51% 75%* 7.5 ±1.9 No SMI 50%* 75%* 7.4 ±1.6* * Compared to Not Integrated p < 0.05 Table 3: Adjusted Outcomes by Site of Care MPR ≥80% OR (95% CI) MPR≥50% OR (95% CI) HbA1c β (p value) Not in Integrated Care 1.0 1.0 -- SMI in Integrated Care 1.33 (0.96-1.84) 1.52 (1.06-2.19) -0.34 (0.01) No SMI 1.02 (0.83-1.26) 1.29 (1.03-1.61) 0.11 (0.20) *Adjusting for age, sex, race](https://image.slidesharecdn.com/longjudith-integratedcareforveteranswithdiabetesandseriousmentalillness-5-14-2008-100818150335-phpapp02/85/integrated-care-for-veterans-with-diabetes-and-serious-mental-illness51408-1-320.jpg)
