对于1型和2型糖尿病的商业保险年轻人,获得专业护理
Christine A March1,2, Amy R Byerly3, Linda Siminerio3
1Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
JAMA network open
|April 5, 2024
概括
患有2型糖尿病的年轻人比患有1型糖尿病的年轻人有更少的专业护理要求,这表明接入障碍. 增加的专家访问与更多的多学科护理和住院相关.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 医疗保健服务研究 医疗服务研究
- 糖尿病管理 糖尿病管理
背景情况:
- 患有2型糖尿病的年轻人比患有1型糖尿病的年轻人面临更高的并发症风险.
- 关于这些人群获得专科护理的差异的研究有限.
研究的目的:
- 为了比较1型和2型糖尿病的年轻人之间的糖尿病专家声称.
- 检查专家索赔与多学科和急性护理的利用之间的关联.
主要方法:
- 使用商业索赔数据进行横截面研究 (Optum Clinformatics Data Mart).
- 包括19岁以下的1型或2型糖尿病患者,至少80%的健康计划入学.
- 分析了内分泌/糖尿病专家的门诊治疗要求,以及多学科和急性护理利用的二次结果.
主要成果:
- 与1型糖尿病患者相比,患有2型糖尿病的年轻人有显著较少的专家索赔 (IRR,0.61).
- 伴随性疾病与1型糖尿病的专家索赔增加有关,但2型糖尿病的索赔减少.
- 每个额外的专家声称与与糖尿病教育者,营养师和行为健康临床医生接触的可能性更高,以及增加住院患者的可能性更高.
结论:
- 患有2型糖尿病的青少年在获得糖尿病专家护理方面遇到重大障碍,即使有保险.
- 获得专家对于参与必要的多学科糖尿病护理服务至关重要.
- 更高的专家利用率与急性护理入院的增加有关,这表明需要进一步关注的高需求子组.
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