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"My regular physician is very much a friend to me, so I feel comfortable going in and talking to her… I think that having that kind of relationship is very important for a person with diabetes or any disease. You need to trust your doctor, and trust yourself that you can ask questions."

‒ Elaine
Cleveland, OH

Did You Know?

Women are less likely than men to feel chest pain during a heart attack, so their diagnosis often gets delayed, leading to more heart damage. Women are more likely than men to experience symptoms that aren’t “typical,” such as nausea, back and abdominal pain and aching chest pain.

Overall Achievement by Race/Ethnicity, 2007

Figure 4 highlights the region’s overall achievement on our Summary Outcome Standard and our Summary Process Standard, stratified by race/ethnicity category. This report describes patients in three categories related to race and ethnicity. While there were a small number of patients reported in other categories, they were too varied and too few in number (449) to provide meaningful comparisons. In addition, race-related data were not reported by Kaiser Permanente. Thus Figure 4 describes 15,180 adults with diabetes across 20 practices at Cleveland Clinic and The MetroHealth System. Collectively, 9341 (62%) are white, 5144 (34%) are African-American, and 695 (5%) are Hispanic. Again, the horizontal lines represent the 38% region-wide overall achievement on the Summary Outcome Standard (at left) and the 46% region-wide overall achievement on the Summary Process Standard (at right).

Figure 4. Region-wide Achievement on Better Health’s Summary Standards, by Race Category. 2007

Overall achievement on our Summary Outcome Standard varied a modest amount across patients by race, with African-American patients faring less well (31%) than Hispanic (38%) or white (40%) patients. Similar to our results by insurance, there was little variation across race categories in achievement on our Summary Process Standard, although both African-American and Hispanic patients had somewhat higher levels of achievement than did our region’s white patients.