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在COVID-19住院期间,在没有保险的人群中诊断出糖尿病的事件
Anisha P Ganguly1, Michael Harms2, Kavita P Bhavan3
1Division of General Medicine and Clinical Epidemiology, Department of Internal Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
American journal of preventive medicine
|June 16, 2025
概括
患有COVID-19住院的无保险患者更有可能被诊断为糖尿病. 这凸显了无保险人获得预防护理的机会减少以及错过了糖尿病查机会.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 未被诊断的糖尿病与缺乏医疗保险有关,限制了获得预防性护理的机会.
- 在COVID-19大流行期间,医疗保健系统以前不知道的未保险人员被住院治疗.
研究的目的:
- 检查COVID-19住院患者的保险状况和新的糖尿病诊断之间的关联.
- 根据在安全网医疗系统中的纳税人身份,识别糖尿病诊断率的差异.
主要方法:
- 针对因COVID-19住院的糖尿病患者电子健康记录的横截面分析 (2020年6月 - 2021年12月).
- 在5年内没有先前的诊断代码,药物或HgbA1c,从而定义了发生糖尿病的诊断.
- 调整了人口因素和BMI以评估付款人身份影响的回归分析.
主要成果:
- 在872名患者中,20.3%的人被诊断为糖尿病.
- 与那些有慈善保险 (18.2%) 或医疗保险 (11.3%) 的患者相比,没有保险的患者患糖尿病的比例更高 (30.1%).
- 经过调整后,与医疗保险患者相比,未保险患者的发生糖尿病诊断几率明显更高 (AOR=2.64).
结论:
- 在COVID-19住院期间,没有保险的个人增加了新糖尿病诊断的几率,这表明检测是由于急性疾病而发生的.
- 调查结果强调了缺乏预防护理的机会,以及没有保险的人群错过了糖尿病查的机会.
- 疫情期间住院治疗可能在弱势,没有保险的群体中揭示了以前未被诊断的糖尿病.
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