Andrew J. Karter, PhD

Andrew J. Karter, PhD Kaiser Permanente Division of Research
2000 Broadway
Oakland, CA 94612

andy.j.karter@kp.org

Andrew J. Karter, PhD, is a senior research scientist at the Division of Research, Kaiser Permanente Northern California; faculty member of the Robert Wood Johnson Foundation’s Health and Society Scholars Program; affiliate professor, in the Department. of Epidemiology and the Department of Health Services in the School of Public Health & Community Health, University of Washington; on the executive committee for the International Working Group on Self-Monitoring of Blood Glucose; and on the international advisory committee for the Alliance for Canadian Health Outcomes Research in Diabetes (ACHORD). Dr. Karter plays a lead role in managing the KPNC Diabetes Registry (n~230,000 patients), overseeing database architecture design, identification of incident cases and database maintenance. He received his doctorate in 1993 in epidemiology with a special emphasis on epidemiologic methods and biostatistics, and was awarded Phi Beta Kappa, Summa Cum Laude, and a Fulbright fellowship. Dr. Karter’s work spans both epidemiology and health services research in diabetes and its complications, with a current focus on social health disparities, diabetes in the elderly patient, consequences of cost-sharing, cultural, and linguistic barriers to health care access, medication adherence, diabetes self-management practices, depression, and pharmacoepidemiology.

Current Position(s):

Research Scientist III, Division of Research, Kaiser Permanente Northern California
Faculty member of Robert Wood Johnson Foundation’s Health and Society Scholars Program.
Affiliate professor, Department of Epidemiology, School of Public Health & Community Health, University of Washington
Affiliate professor, Department of Health Services, School of Public Health & Community Health, University of Washington

Related Web sites

Diabetes Study of Northern California (DISTANCE)

Effective Care of Latinos with Diabetes and Limited English Proficiency

This study focuses on respondents from DISTANCE to determine if there is a differential impact of language concordant care on the outcomes of Latino patients with diabetes and limited English proficiency.
Funder: Nat. Inst.of Diabetes & Digestive & Kidney Disease
Principal Investigator: Karter, Andrew

Neighborhood Effects on Weight and Diabetes Complications

We propose to evaluate hypothesized relationships between neighborhood-level influences on diabetes self-care, cardiometabolic markers of disease and health outcomes by studying patients with diabetes and uniform access to health care.
Funder: Nat. Inst.of Diabetes & Digestive & Kidney Disease
Principal Investigator: Karter, Andrew

Failure to Utilize Diabetes Health Services Following a Referral

This study will utilize the new electronic referral system to evaluate social disparities in the patterns and predictors of failure of patients to utilize preventive health services which have been referred by their providers.
Funder: Nat. Inst.of Diabetes & Digestive & Kidney Disease
Principal Investigator: Karter, Andrew

Medication Adherence and Social Disparities in Diabetes

This study will evaluate whether diabetes, blood pressure, and cholesterol medications are taken by patients with diabetes as prescribed (“adherence”), emphasizing social patterns in adherence, clinical consequences, and reasons for differences in therapy initiation, maintenance, and discontinuation.
Funder: Nat. Inst.of Diabetes & Digestive & Kidney Disease
Principal Investigator: Karter, Andrew

The Impact of Language Concordance on the Health Care of Patients with Limited English Proficiency

This study characterize patient-provider language concordance/discordance, quality of care and health outcomes in diabetic patients with limited English proficiency. We will also survey providers regarding their language fluency.
Funder: California Program on Access to Care
Principal Investigator: Karter, Andrew

Diabetes, Social Disparities and Aging

This study focuses on diabetes-related care and outcomes among geriatric patients with diabetes. We will evaluate the effects of commonly used antihyperglycemic therapies, polypharmacy, hypoglycemia; geriatric syndromes, and quality of life; all-cause mortality, and explore the implications of the widespread adoption of geriatric diabetes guidelines for ethnic disparities in diabetes care.
Funder: Nat. Inst.of Diabetes & Digestive & Kidney Disease
Principal Investigator: Karter, Andrew

Ethnic Disparities in Diabetes Complications

This study evaluates ethnic differences in the incidence and antecedents of diabetic complications in a large population of African-Americans, Asians, Caucasians, Filipinos and Latinos within an integrated managed care setting (Kaiser Permanente), and focuses on health services and epidemiologic aspects of diabetic complications, including myocardial infarction, stroke, congestive heart failure, end-stage renal disease, lower-extremity amputation and proliferative retinopathy.
Funder: Nat. Inst.of Diabetes & Digestive & Kidney Disease
Principal Investigator: Karter, Andrew

Educational Disparities in Diabetes Complications

This study evaluates the role of education in the incidence of diabetic complications in a large, well-characterized population within an integrated, managed care setting (Kaiser Permanente).
Funder: Nat. Inst. of Child Health and Human Dev.
Principal Investigator: Karter, Andrew

Kaiser Permanente Division of Research