M R Burge1, S Lucero, A G Rassam, D S Schade. 1. University of New Mexico School of Medicine, Department of Medicine/Endocrinology, Albuquerque 87131, USA. MBurge@Salud.UNM.EDU
Abstract
CONTEXT: Few data are available describing factors that prevent patients with newly diagnosed diabetes from seeking medical care. OBJECTIVE: To identify socioeconomic factors that act as barriers to healthcare among such patients. SETTING: A community-wide diabetes screening programme. PARTICIPANTS: One hundred and eighteen patients with newly identified diabetes mellitus out of 1,824 total screenings. INTERVENTIONS: Each newly identified person with diabetes was instructed to contact a physician for follow-up care. DESIGN: A follow-up survey was obtained from 89 (75%) subjects 9 +/- 7 months after diagnosis. MAIN OUTCOME MEASURE: Whether or not subjects had obtained follow-up care for their diabetes. RESULTS: Of seven variables examined, only lack of health insurance correctly predicted those patients who failed to seek medical care for their diabetes by multivariate analysis. CONCLUSIONS: Lack of health insurance coverage is the primary reason that patients with newly diagnosed diabetes fail to seek medical care.
CONTEXT: Few data are available describing factors that prevent patients with newly diagnosed diabetes from seeking medical care. OBJECTIVE: To identify socioeconomic factors that act as barriers to healthcare among such patients. SETTING: A community-wide diabetes screening programme. PARTICIPANTS: One hundred and eighteen patients with newly identified diabetes mellitus out of 1,824 total screenings. INTERVENTIONS: Each newly identified person with diabetes was instructed to contact a physician for follow-up care. DESIGN: A follow-up survey was obtained from 89 (75%) subjects 9 +/- 7 months after diagnosis. MAIN OUTCOME MEASURE: Whether or not subjects had obtained follow-up care for their diabetes. RESULTS: Of seven variables examined, only lack of health insurance correctly predicted those patients who failed to seek medical care for their diabetes by multivariate analysis. CONCLUSIONS: Lack of health insurance coverage is the primary reason that patients with newly diagnosed diabetes fail to seek medical care.
Authors: Sherita Hill Golden; Arleen Brown; Jane A Cauley; Marshall H Chin; Tiffany L Gary-Webb; Catherine Kim; Julie Ann Sosa; Anne E Sumner; Blair Anton Journal: J Clin Endocrinol Metab Date: 2012-06-22 Impact factor: 5.958
Authors: Suan Ee Ong; Joel Jun Kai Koh; Sue-Anne Ee Shiow Toh; Kee Seng Chia; Dina Balabanova; Martin McKee; Pablo Perel; Helena Legido-Quigley Journal: PLoS One Date: 2018-03-29 Impact factor: 3.240