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Mandated Diabetes Registries Will Not Benefit Persons With Diabetes
Paula M. Trief, PhD;
Richard A. Ellison, JD
Arch Intern Med. 2008;168(8):799-802.
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INTRODUCTION
This past year, the New York City (NYC) Department of Health and Mental Hygiene (DOHMH) has embarked on a radical new approach to improving the care of patients with diabetes. Following the lead of a similar program in Vermont,1 they have established a mandatory registry of diabetic patients and their hemoglobin A1c (HbA1c) values. Hemoglobin A1c is a reliable measure of blood glucose control over the preceding 2 to 3 months.2 Good glycemic control (ie, HbA1c level <7.0%) is the goal patients and physicians work toward, since it has been convincingly demonstrated that good glycemic control can forestall and prevent diabetes-related complications.3-4 Diabetes registries have been used for many years to track and research the disease. However, this registry is different from those commonly used. In the NYC and Vermont registries, information is gathered about the patient without their explicit informed . . . [Full Text of this Article]
WILL IT WORK?
POTENTIAL RISKS
CONCLUSIONS
AUTHOR INFORMATION
Author Affiliations: Departments of Psychiatry and Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse (Dr Trief); and College of Law, Syracuse University, Syracuse (Dr Ellison).
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