A 3-State Analysis of Black–White Disparities in Diabetes Hospitalizations Among Medicaid Beneficiaries:

Health Services Research & Managerial Epidemiology

William N.Mkanta¹ 

关键词: diabetes;    diabetes hospitalization;    racial disparities;    Medicaid;    health disparities;   

DOI  :  10.1177/2333392818783513

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Introduction:Although diabetes is one of the leading chronic disease in the country, efforts in primary care and patient self-care management could prevent most of the diabetes-related hospitalizations and produce cost savings and improvements in quality of life. We used information from Medicaid beneficiaries in 3 states to predict racial differences in diabetes hospitalizations and demonstrate how they vary across states.Methods:We conducted a cross-sectional study to examine differences between black and white patients with diabetes hospitalizations. Information was obtained from the Medicaid Analytic eXtract files. We used multiple logistic regression models to assess the significance of the differences.Results:Analysis included 10 073 adult Medicaid recipients from the states of Mississippi (51%), Georgia (35%), and Michigan (14%). Blacks were more likely to experience longer hospital stays in Georgia (odds ratio [OR] = 1.040; 95% confidence interval [CI]: 1.03-1.06) and Mississippi (OR = 1.048; 95% ...

【 授权许可】

CC BY