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Utilization of Counseling Services by Pediatric Patients With Obesity Using MarketScan Data (2017-2019)
Janani Rajbhandari-Thapa1, Sae Rom Chung1, Huimin Hu1
1Department of Health Policy and Management, University of Georgia, Athens, GA, USA.
Insights
Pediatric obesity counseling services are underutilized by both privately insured and Medicaid patients. This study highlights the need for improved access and promotion of these vital treatment options for children.
Area of Science:
- Public Health
- Pediatric Medicine
- Health Services Research
Background:
- US policy aims to improve insurance coverage for obesity counseling.
- Utilization of these services among pediatric patients with obesity remains unexamined.
Purpose of the Study:
- To investigate counseling service utilization patterns in pediatric patients diagnosed with obesity.
- To analyze differences in utilization based on insurance type (private vs. Medicaid).
Main Methods:
- Utilized 3 years (2017-2019) of IBM MarketScan Commercial Claims and Encounters Database.
- Analyzed IBM MarketScan Multi-State Medicaid Data for pediatric patients with obesity.
- Examined counseling service utilization within 6- and 12-month follow-ups post-diagnosis.
Main Results:
- Low utilization rates observed: 7.06%-7.97% for privately insured and 9.51%-11.61% for Medicaid patients within 6 months.
- Nutrition and face-to-face counseling were the most common services utilized.
- Underdiagnosis of pediatric obesity is suggested by low service uptake.
Conclusions:
- Significant underutilization of obesity counseling services among pediatric patients exists.
- Policies and programs are needed to enhance the uptake of these crucial services.
- Addressing underdiagnosis and promoting service utilization are critical for pediatric obesity management.
Abstract:
The United States has implemented policy efforts for public and private insurance to cover counseling services related to the treatment of obesity. However, no research has yet studied counseling service utilization among pediatric patients with obesity. We used 3 years (2017-2019) of IBM MarketScan Commercial Claims and Encounters Database and IBM MarketScan Multi-State Medicaid Data to examine such utilization patterns. We found the proportion of patients receiving any counseling services to be low among both privately insured (7.06%-7.97%) and Medicaid patients (9.51%-11.61%) within 6 months from diagnosis of obesity. This underutilization is concerning as many pediatric patients go undiagnosed, as evidenced in this research. Among the utilized services, nutrition counseling and face-to-face counseling were utilized the most by privately and Medicaid-insured patients over 6- and 12-month follow-ups. Our study underscores the need for implementing policies and programs to promote the utilization of counseling services among pediatric patients.
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