scholarly journals Transition experiences and health care utilization among young adults with type 1 diabetes

2013 ◽  
pp. 761 ◽  
Author(s):  
Katharine C Garvey ◽  
Jonathan Finkelstein ◽  
Lori Laffel ◽  
Victoria Ochoa ◽  
Wolfsdorf ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Transition Experiences

scholarly journals Food insecurity is associated with high risk glycemic control and higher health care utilization among youth and young adults with type 1 diabetes

2018 ◽  
Vol 138 ◽  
pp. 128-137 ◽  
Author(s):  
Jason A. Mendoza ◽  
Wren Haaland ◽  
Ralph B. D'Agostino ◽  
Lauren Martini ◽  
Catherine Pihoker ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
High Risk ◽  
Glycemic Control ◽  
Health Care Utilization ◽  
Food Insecurity ◽  
Care Utilization ◽  
Youth And Young Adults

Health Care Utilization and Medicaid Spending in Children with Type 1 Diabetes in the Alabama Medicaid Program

2021 ◽  
Author(s):  
Ransome Eke ◽  
Xin (Thomas) Yang ◽  
Kiersten L. Bond ◽  
Courtney Hanson ◽  
Caroline Jenkins ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Medicaid Program ◽  
Medicaid Spending

scholarly journals ADHERENCE TO INSULIN IN SINGAPOREAN PEDIATRIC TYPE 1 DIABETES PATIENTS AND ITS IMPACT ON GLYCEMIC CONTROL AND HEALTH-CARE UTILIZATION

2019 ◽  
pp. 176-182 ◽  
Author(s):  
BRANDON WEN BING CHUA ◽  
XIN YAN LIM ◽  
KAR MEN POH ◽  
JAMIE STEPHANIE CALEB ◽  
MCVIN HUA HENG CHEEN ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Health Care Utilization ◽  
Medication Possession Ratio ◽  
Sensitivity Analyses ◽  
Care Utilization ◽  
Chi Square ◽  
Chi Square Test

Objective: Optimizing glycemic control is challenging with insulin non-adherence. This study aimed to characterize the prevalence of non-adherence among Singaporean pediatric patients with type 1 diabetes mellitus (T1DM) and investigate its associated outcomes. Methods: Singaporean patients with T1DM aged ≤18 years old with ≥1 year of insulin prescription between 2012 and 2016 were included in this retrospective, single-center longitudinal study. Patients on insulin pumps were excluded from the study. Non-adherence was defined as medication possession ratio (MPR) <100%. Glycemic control was defined using mean hemoglobin A1c (HbA1c) within the study period. Health-care utilization was defined as the number of outpatients, inpatient, and emergency visits. The t-test, Chi-square test, logistic regression, and Poisson regression were used to analyze means, proportions, factors associated with non-adherence, and association of non-adherence and health-care utilization, respectively. Sensitivity analyses were performed for MPR thresholds of 80% and 95%. Results: A total of 206 patients were included in this study. Non-adherent patients were older, had a longer duration of diabetes since diagnosis and shorter duration of follow-up. Gender, race, financial class, and number of concurrent medications were comparable between groups. The prevalence of non-adherence was 34.0% (95% confidence interval [CI]: 27.9–40.7%). Non-adherent patients had a higher average HbA1c (non-adherent: 9.6% [2.1] vs. adherent: 8.6% [1.3], p<0.001). Non-adherence was not associated with health-care utilization. Patients with >5 years of diabetes were more likely to be non-adherent. Conclusion: Non-adherence defined as MPR <100% is associated with poorer glycemic control. Further interventions may focus on patients with >5 years of diabetes to improve their adherence to insulin therapy.

Psychosocial Correlates of Health Care Utilization for Children and Adolescents With Type 1 Diabetes Mellitus

2003 ◽  
Vol 32 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Max P. Cote ◽  
Larry L. Mullins ◽  
Valerie Hartman ◽  
Ahna Hoff ◽  
Benjamin H. K. Balderson ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Type 1 Diabetes ◽  
Health Care Utilization ◽  
Type 1 Diabetes Mellitus ◽  
Children And Adolescents ◽  
Care Utilization ◽  
Psychosocial Correlates

Disease activity and health-care utilization among young adults with childhood-onset lupus transitioning to adult care: data from the Pediatric Lupus Outcomes Study

Lupus ◽  
2020 ◽  
Vol 29 (10) ◽  
pp. 1206-1215
Author(s):  
Sara L Haro ◽  
Erica F Lawson ◽  
Aimee O Hersh
Keyword(s):  
Health Care ◽  
Young Adults ◽  
Health Care Utilization ◽  
Disease Activity ◽  
Care Utilization ◽  
Childhood Onset ◽  
Adult Care ◽  
Medication Usage ◽  
Pediatric Lupus ◽  
Outcomes Study

Background Individuals with childhood-onset systemic lupus erythematosus (cSLE) must transfer from pediatric to adult care. The goal of this study was to examine disease activity and health-care utilization among young adults with cSLE who are undergoing or have recently completed the transfer to adult care. Methods The Pediatric Lupus Outcomes Study (PLOS) is a prospective longitudinal cohort study of young adults aged 18–30 diagnosed with cSLE. We conducted a cross-sectional analysis comparing 47 participants under the care of pediatric rheumatologists to 38 who had completed transfer to adult care. Demographics, disease manifestations, health- care utilization and transition readiness were compared between groups. Results Those in the post-transfer group had significantly lower medication usage and were less likely to have seen a rheumatologist in the past year. Disease manifestations, flare rates, and hospitalizations were similar between groups. Nearly a quarter of patients who had transferred to adult care reported difficulties with the process. Conclusion Post-transfer patients had lower health-care utilization as evidenced by less medication usage and lack of rheumatology follow-up, in spite of the fact that disease activity was similar in both groups. Future studies will assess longitudinal changes in disease activity and damage in this population.

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