Health Policy Implications: Evidence of Disparities in Access, Equity and Outcomes of Hospitalized Patients with Type 2 Diabetes

2.50
Hdl Handle:
http://hdl.handle.net/10755/156631
Type:
Presentation
Title:
Health Policy Implications: Evidence of Disparities in Access, Equity and Outcomes of Hospitalized Patients with Type 2 Diabetes
Abstract:
Health Policy Implications: Evidence of Disparities in Access, Equity and Outcomes of Hospitalized Patients with Type 2 Diabetes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Conference Date:July 10-12, 2003
Author:Dowell, Marsha
P.I. Institution Name:University of Alabama in Huntsville
Title:Associate Dean
Co-Authors:Billie Rozell, Patricia Chaloux
Health Policy Implications: Evidence of Disparities in Access, Equity and Outcomes of Hospitalized Patients with Type 2 Diabetes<P> Objective: To identify trends related to access, equity and outcomes in hospitalized patients with Type 2 diabetes and describe health policy implications of such trending.<P> Design: Longitudinal, descriptive, cross sectional study.<P> Sample: Research utilized a secondary database, The Health Care Cost and Utilization Project (HCUP-3),1994-1999, with a stratified probability sample of hospitals proportional in each stratum to the number of all community hospitals. Discharge records of 962,987 patients with Type 2 diabetes, 40 years of age and older from 22 U.S. states comprised the sample.<P> Variables: Admission status, principle or secondary diagnosis of Type 2 diabetes, number and type of co-morbid conditions, complications, length of stay, gender, age, ethnicity, procedures utilized, location of hospital, type of hospital, bed size of hospital, insurance provider, total charges, charges per day, disposition post-hospitalization.<P> Methods: Descriptive analyses, hierarchical random effects regression modeling and contrasts between covariate-adjusted means. Charge data required a logarithmic transformation.<P> Findings: Significant racial and gender disparities in healthcare access, equity and outcomes, with equity variables yielding alarming disparities in types of procedures (i.e. amputations, cardiac catheterizations) performed, length of stay and disposition. <P> Conclusions: Dissonance between recommended diabetes pre-hospital care forestalling disease progression and co-morbid disease and complications identified in hospitalizations. Health policy recommendations focus on access and equitable use of resources in a systematic framework of chronic disease diabetes management.<P> Implications: Health services research with large databases provides a strong argument for evidence based health policy decision-making in diabetes care. <!--Abstract 13354 modified by 146.229.36.91 on 11-1-2002--></P></P></P></P></P></P></P></P>
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Jul-2003
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHealth Policy Implications: Evidence of Disparities in Access, Equity and Outcomes of Hospitalized Patients with Type 2 Diabetesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156631-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Health Policy Implications: Evidence of Disparities in Access, Equity and Outcomes of Hospitalized Patients with Type 2 Diabetes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 10-12, 2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Dowell, Marsha</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Alabama in Huntsville</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Dean</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">dowellm@email.uah.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Billie Rozell, Patricia Chaloux</td></tr><tr><td colspan="2" class="item-abstract">Health Policy Implications: Evidence of Disparities in Access, Equity and Outcomes of Hospitalized Patients with Type 2 Diabetes&lt;P&gt; Objective: To identify trends related to access, equity and outcomes in hospitalized patients with Type 2 diabetes and describe health policy implications of such trending.&lt;P&gt; Design: Longitudinal, descriptive, cross sectional study.&lt;P&gt; Sample: Research utilized a secondary database, The Health Care Cost and Utilization Project (HCUP-3),1994-1999, with a stratified probability sample of hospitals proportional in each stratum to the number of all community hospitals. Discharge records of 962,987 patients with Type 2 diabetes, 40 years of age and older from 22 U.S. states comprised the sample.&lt;P&gt; Variables: Admission status, principle or secondary diagnosis of Type 2 diabetes, number and type of co-morbid conditions, complications, length of stay, gender, age, ethnicity, procedures utilized, location of hospital, type of hospital, bed size of hospital, insurance provider, total charges, charges per day, disposition post-hospitalization.&lt;P&gt; Methods: Descriptive analyses, hierarchical random effects regression modeling and contrasts between covariate-adjusted means. Charge data required a logarithmic transformation.&lt;P&gt; Findings: Significant racial and gender disparities in healthcare access, equity and outcomes, with equity variables yielding alarming disparities in types of procedures (i.e. amputations, cardiac catheterizations) performed, length of stay and disposition. &lt;P&gt; Conclusions: Dissonance between recommended diabetes pre-hospital care forestalling disease progression and co-morbid disease and complications identified in hospitalizations. Health policy recommendations focus on access and equitable use of resources in a systematic framework of chronic disease diabetes management.&lt;P&gt; Implications: Health services research with large databases provides a strong argument for evidence based health policy decision-making in diabetes care. &lt;!--Abstract 13354 modified by 146.229.36.91 on 11-1-2002--&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;</td></tr></table>en_GB
dc.date.available2011-10-26T14:58:19Z-
dc.date.issued2003-07-10en_GB
dc.date.accessioned2011-10-26T14:58:19Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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