{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T03:33:44Z","timestamp":1781062424956,"version":"3.54.1"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2006,9,28]],"date-time":"2006-09-28T00:00:00Z","timestamp":1159401600000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2006,9]]},"abstract":"<jats:p><jats:bold>ABSTRACT:\u2002<\/jats:bold>  <jats:italic>\n            <jats:bold>Context: <\/jats:bold>Diabetes poses a growing health burden in the United States, but much of the research to date has been at the state and local level.<jats:bold> Purpose: <\/jats:bold>To present a national profile of diabetes care provided to Medicare beneficiaries living in urban, semirural, and rural communities.<jats:bold> Methods: <\/jats:bold>Medicare beneficiaries with diabetes aged 18\u201075 were identified from Part A and Part B claims data from 1999 to 2001. A composite of 3 diabetes care indicators was assessed (annual hemoglobin A1c test, biennial lipid profile, and biennial eye examination).<jats:bold> Findings: <\/jats:bold>Over 77% had a hemoglobin A1c test, 74% a lipid profile, and 69% an eye examination. Patterns of care were considerably different across the urban\u2010rural continuum at the state, Census division, and regional levels. States in the northern and eastern portions of the country had higher indicator rates for rural than for urban residents. States in the South had much lower rates for rural residents than their urban counterparts. Despite these within\u2010state differences, across\u2010state comparisons found that several states tended to have low indicator rates in every level of the urban\u2010rural continuum. A common feature of these states was the relatively high concentration of nonwhite beneficiaries. For example, southern states had much higher concentrations of nonwhite beneficiaries relative to other areas in the country and demonstrated low rates in every level of the urban\u2010rural continuum.<jats:bold> Conclusions: <\/jats:bold>Urban\u2010rural quality of care differences may be a function not just of geography but also of the presence of a large nonwhite population.<\/jats:italic> <\/jats:p>","DOI":"10.1111\/j.1748-0361.2006.00057.x","type":"journal-article","created":{"date-parts":[[2006,9,28]],"date-time":"2006-09-28T20:05:20Z","timestamp":1159473920000},"page":"351-358","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["The State of Diabetes Care Provided to Medicare Beneficiaries Living in Rural America"],"prefix":"10.1111","volume":"22","author":[{"suffix":"Jr","given":"Joseph P.","family":"Weingarten","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Brittman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenrong","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Przybyszewski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith M.","family":"Hammond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn","family":"FitzGerald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,9,28]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.11.1936"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.21.2.296"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.8.2300"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.suppl_2.B69"},{"key":"e_1_2_6_6_2","first-page":"368","article-title":"Reducing disparities in lipid testing for African\u2010Americans with diabetes: interim report","volume":"26","author":"Michalowski KM","year":"2003","journal-title":"J Health Hum Serv Adm"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.5.1060"},{"key":"e_1_2_6_8_2","first-page":"676","article-title":"Improving the quality of outpatient care for older patients with diabetes: lessons from a comparison of rural and urban communities","volume":"50","author":"Rosenblatt RA","year":"2001","journal-title":"J Fam Pract"},{"key":"e_1_2_6_9_2","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1001\/jama.1995.03520430039036","article-title":"Variation in office\u2010based quality. 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