Article Summary Race, ethnicity, socioeconomic position, and quality of care for adults with diabetes enrolled in managed care: the translating research into action for Diabetes (TRIAD) study. Brown AF, Gregg EW, Stevens MR, Karter AJ, Weinberger M, Safford MM, et al. Diabetes Care. 2005;28:2864-2870. Objective: To examine racial/ethnic and socioeconomic variation in the quality of diabetes care provided in 6 managed-care settings; to determine whether effects of race/ethnicity vary by income or education, and; to determine whether differences in intermediate outcomes were due to differences in intensity of management. Methods: The Translating Research into Action for Diabetes (TRIAD) study was a previously published longitudinal study of diabetes care in managed-care settings. In this analysis, a random sample of individuals with diabetes was surveyed using a combination of computer-assisted telephone interviews and mailed surveys. Medical records were also reviewed. Criteria for eligibility included diagnosed diabetes, at least 18 years of age, continuously enrolled in a participating health plan for ≥18 months with at least 1 claim for health care, reported receiving majority of their diabetes care through the health plan, and spoke English or Spanish. Participants were categorized based on self-identified race and ethnicity. Socioeconomic position (SEP) was measured using self-reported education and income. Seven processes of care performed over the previous year were used as the basis for results: A1C, lipid profile (or triglyceride level > 400), assessment of nephropathy, dilated eye examination, foot examination, advice to take aspirin or aspirin use, and receipt of influenza vaccination. Bivariate tests of association were used to compare processes of care and intermediate health outcomes among the racial/ethnic groups and by education and income. Results: Data were collected from 11,927 individuals. African-Americans had lower rates than whites of A1C measurement (77.7% vs 82.4%; P=0.002), lipid measurement (61% vs 68%; P=0.0003), and influenza vaccination (58.5% vs 68.4%; P=0.0001). Rates for other criteria were comparable with whites. Latinos and Asian/Pacific Islanders had similar or higher rates for all process measures. Analyses evaluated the intensity of medication management among subjects with suboptimal glycemic control or LDL for which most differences were observed. Management was more aggressive for poorer, less educated, or minority patients. Conclusions: The principal finding is that in this large cohort of insured patients, relatively few disparities in diabetes care was seen. This suggests that disparities in health care occur considerably less frequently in the managed care setting than in population-based studies.