Jay J Shen1, Elmer L Washington. 1. Department of Health Care Administration and Policy, School of Public Health, University of Nevada at Las Vegas, Las Vegas, Nevada 89154-3023, USA. jay.shen@unlv.edu
Abstract
OBJECTIVE: In consideration of the increasing prevalence of diabetes, multiple factors related to levels of long-term glycemic control, and complex causes of racial disparities across a variety of chronic conditions, patterns of admissions and complications related to diabetes by ethnicity were explored to develop a more clear understanding of underlying causes of disparities. METHOD: Using the 2003 National Inpatient Sample, we analyzed the correlation between the primary diagnosis and the likelihood that the condition represented poorly controlled diabetes or a diabetes-related complication. RESULTS: Minorities were more likely to be admitted through the emergency department and for a condition directly related to diabetes progression. Further, minorities were more likely to be admitted for acute hyperglycemia and acute hypoglycemia. CONCLUSION: Interventions that address root causes of disparities related to diabetes and other conditions, such as care-seeking behaviors and ease of access to primary care providers, are keys to eliminating ethnic disparities.
OBJECTIVE: In consideration of the increasing prevalence of diabetes, multiple factors related to levels of long-term glycemic control, and complex causes of racial disparities across a variety of chronic conditions, patterns of admissions and complications related to diabetes by ethnicity were explored to develop a more clear understanding of underlying causes of disparities. METHOD: Using the 2003 National Inpatient Sample, we analyzed the correlation between the primary diagnosis and the likelihood that the condition represented poorly controlled diabetes or a diabetes-related complication. RESULTS: Minorities were more likely to be admitted through the emergency department and for a condition directly related to diabetes progression. Further, minorities were more likely to be admitted for acute hyperglycemia and acute hypoglycemia. CONCLUSION: Interventions that address root causes of disparities related to diabetes and other conditions, such as care-seeking behaviors and ease of access to primary care providers, are keys to eliminating ethnic disparities.
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