糖尿病负担在医疗服务不足的里约格兰德河谷
John M Gaddis1, Elias Arellano2, Kassandra Pulido2
1Orthopedic Surgery, University of Texas Rio Grande Valley School of Medicine, Edinburg, USA.
Cureus
|October 25, 2024
概括
糖尿病 (DM) 在里约格兰德山谷 (RGV) 比全国更为普遍. RGV面临着更高的成本,肥胖和糖尿病护理的紧急访问,这表明健康差异很大.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 糖尿病 (DM) 是一组代谢障碍,其特征是高血糖.
- 里约格兰德山谷 (RGV) 是一个医疗服务不足的地区,有大量的低收入人口.
- 了解区域DM流行率和相关的医疗保健指标对于解决健康差异至关重要.
研究的目的:
- 评估2012年至2022年在RGV的DM的流行率和相关指标.
- 为了将RGV DM指标与国家平均值进行比较.
- 在RGV内识别DM护理的公共卫生差异.
主要方法:
- 对医疗保险和医疗补助服务中心 (CMS) 数据 (2012-2022) 的回顾性横截面分析.
- 分析DM患病率,首要费用,急诊室访问,住院,查和肥胖率.
- 使用曼 - 惠特尼U测试 (p < 0.05显著性) 将RGV数据与国家平均值进行比较.
主要成果:
- 在RGV的DM患病率 (43.95%) 显著高于全国平均水平 (26.73%) (p < 0.001).
- 肥胖 (24.41%对比15.55%),ED访问 (16.82对比8.82每1000人),住院 (7.75对比3.82每1000人) 在RGV中更高 (p <0.01).
- 在RGV,DM治疗的平均本金成本 (1920.45美元) 显著超过了全国平均水平 (859.64美元) (p < 0.001).
结论:
- 与全国平均水平相比,RGV显示DM和相关医疗保健指标的比率显著更高.
- 这些发现凸显了RGV中糖尿病流行率和管理方面的重大公共卫生差异.
- 需要有针对性的干预措施来解决这个服务不足的地区不成比例的DM负担.
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