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Economic and Clinical Disparities in Hospitalized Patients with Type 2 Diabetes

Dowell, Marsha A. ; Rozell, Billie ; Roth, David ; Delugach, Harry ; Chaloux, Patricia ; Dowell, Jennifer

Journal of nursing scholarship, 2004-01, Vol.36 (1), p.66-72 [Periódico revisado por pares]

350 Main Street , Malden , MA 02148 , USA , and 9600 Garsington Road , Oxford OX4 2DQ , UK: Blackwell Science Inc

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Título:
Economic and Clinical Disparities in Hospitalized Patients with Type 2 Diabetes
Autor: Dowell, Marsha A. ; Rozell, Billie ; Roth, David ; Delugach, Harry ; Chaloux, Patricia ; Dowell, Jennifer
Assuntos: access ; Age ; Aged ; Chronic illnesses ; Continental Population Groups - statistics & numerical data ; Costs ; Cross-Sectional Studies ; Diabetes ; Diabetes Mellitus, Type 2 - economics ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - therapy ; Disease ; economics ; Equity ; Ethnicity ; Female ; Health care access ; Health care expenditures ; Health care policy ; Health Care Surveys ; Health insurance ; Health Services Accessibility - economics ; Health Services Accessibility - standards ; Health Status ; Hospital Charges - statistics & numerical data ; Hospitalization - economics ; Hospitals ; Humans ; Length of Stay - statistics & numerical data ; Longitudinal Studies ; Male ; Middle Aged ; Nursing ; Outcome Assessment (Health Care) - organization & administration ; outcomes ; Patients ; Regression Analysis ; Sex Distribution ; Sex Factors ; Socioeconomic Factors ; Trends ; United States - epidemiology
É parte de: Journal of nursing scholarship, 2004-01, Vol.36 (1), p.66-72
Notas: ArticleID:JNU4015
ark:/67375/WNG-M5MM1VWC-D
istex:A972A2148CEEADA4068B9B33D97FDA8DB71FF90A
Graduate Student, School of Nursing, University of Tennessee, Knoxville, TN
Marsha A. Dowell
PhD, Associate Professor, Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, AL
Harry Delugach
RN, PhD
Billie Rozell
David Roth
dowellm@uah.edu
PhD, Associate Professor, Department of Computer Science, University of Alabama in Huntsville, AL
College of Nursing, University of Alabama in Huntsville, AL. The authors thank Ms. Sue Walters for her assistance, Dr. Fay Raines for her continued support, and Roche Laboratories and the American Association of Diabetes Educators for their financial support of this project. Correspondence to Dr. Dowell, College of Nursing, University of Alabama in Huntsville, Huntsville, AL. E‐mail
Gamma Chi
Associate Professor and Associate Dean
Patricia Chaloux
RN, BSN
Beta Phi
Associate Professor (Emeritus), both at the College of Nursing, University of Alabama in Huntsville, AL
RN, DSN
Jennifer Dowell
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
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Descrição: Purpose: To identify and describe economic and clinical relationships and trends associated with selected access, equity, and outcome characteristics of a large inpatient population with Type 2 diabetes. Design: Longitudinal, descriptive cross‐sectional study with secondary analyses of data about 101,944 patients in hospitals in the United States (US), 40 years of age and older with a primary diagnosis of Type 2 diabetes from the Health Care Cost and Utilization Project (HCUP‐3) database for 1994–1997. Methods: Descriptive analysis, hierarchical, random‐effects regression modeling, and contrasts between covariate‐adjusted means. Hospital charge data were highly skewed in a positive direction requiring a logarithmic transformation. Variables for the study included both hospital and patient characteristics. Findings: Significant racial and sex disparities were found in health care access, equity, and outcomes, with equity characteristics showing alarming disparities in types of procedures (amputations and peripheral vascular bypass grafts) performed, lengths of stay, and dispositions. Conclusions: Disparities in health care access, equity, and outcomes continue to exist on the basis of sex, ethnicity, and age as well as the type and location of the hospital. Access and equity are values that, despite rhetoric in relation to health care utilization, have not been systematically attained.
Editor: 350 Main Street , Malden , MA 02148 , USA , and 9600 Garsington Road , Oxford OX4 2DQ , UK: Blackwell Science Inc
Idioma: Inglês

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Economic and Clinical Disparities in Hospitalized Patients with Type 2 Diabetes

Dowell, Marsha A. ; Rozell, Billie ; Roth, David ; Delugach, Harry ; Chaloux, Patricia ; Dowell, Jennifer

350 Main Street , Malden , MA 02148 , USA , and 9600 Garsington Road , Oxford OX4 2DQ , UK: Blackwell Science Inc

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