Impact Of Insurance Status On Health Care Utilization And Quality Of Self Care Among Ethnic Minorities With Type 2 Diabetes

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Impact of Insurance Status on Health Care Utilization and Quality of Self-Care Among Ethnic Minorities with Type 2 Diabetes

Author : Nicole Angela Vaughn
Publisher :
ISBN 13 :
Total Pages : 181 pages
Book Rating : 4.:/5 (63 download)

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Book Synopsis Impact of Insurance Status on Health Care Utilization and Quality of Self-Care Among Ethnic Minorities with Type 2 Diabetes by : Nicole Angela Vaughn

Download or read book Impact of Insurance Status on Health Care Utilization and Quality of Self-Care Among Ethnic Minorities with Type 2 Diabetes written by Nicole Angela Vaughn and published by . This book was released on 2004 with total page 181 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes affects 16 million Americans and disproportionately affects ethnic minorities. Specifically, African American and Hispanics are twice as likely to have Type 2 diabetes compared to their Caucasian counterparts. The impact of this disparity goes beyond the greater prevalence of the disease and includes greater morbidity and mortality. The recent Institute of Medicine (IOM) report documents racial and ethnic disparities in the treatment for many different medical conditions, including diabetes. Understanding and combating health disparities among minority groups is a national priority. Many researchers have focused on socioeconomic status (SES) as the main cause in health disparities. Much of the research over the past two decades has examined the impact of health outcomes among the uninsured and much of this research has found that insured individuals have better health outcomes than those without insurance. In order to begin to unravel the myriad of factors that contribute to these health disparities, researchers must further examine whether there are differences among ethnic minorities and Caucasians with health insurance coverage. The current study examined the association of insurance status on health care utilization patterns and quality of self-care behaviors among ethnic minorities and Caucasians with Type 2 diabetes. The 1998 Medical Expenditure Panel Survey (MEPS), a nationally representative sample of U.S. non-institutionalized civilians, dataset was used in this study. Data were extracted for insured Caucasian, African American, and Hispanic individuals aged 21-64 years with an ICD-9 diagnosis of Type 2 diabetes (i.e., with and without complications). Five hundred six individuals met the inclusion criteria.

Care Without Coverage

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine

Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Communities in Action

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Understanding Racial and Ethnic Differences in Health in Late Life

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309165865
Total Pages : 184 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Understanding Racial and Ethnic Differences in Health in Late Life by : National Research Council

Download or read book Understanding Racial and Ethnic Differences in Health in Late Life written by National Research Council and published by National Academies Press. This book was released on 2004-09-08 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.

Unequal Treatment

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030908265X
Total Pages : 781 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Unequal Treatment by : Institute of Medicine

Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Coverage Matters

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309076099
Total Pages : 204 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Coverage Matters by : Institute of Medicine

Download or read book Coverage Matters written by Institute of Medicine and published by National Academies Press. This book was released on 2001-10-27 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.

Access to Health Care in America

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309047420
Total Pages : 240 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Access to Health Care in America by : Institute of Medicine

Download or read book Access to Health Care in America written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.

America's Uninsured Crisis

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309140889
Total Pages : 238 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis America's Uninsured Crisis by : Institute of Medicine

Download or read book America's Uninsured Crisis written by Institute of Medicine and published by National Academies Press. This book was released on 2009-07-01 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: When policy makers and researchers consider potential solutions to the crisis of uninsurance in the United States, the question of whether health insurance matters to health is often an issue. This question is far more than an academic concern. It is crucial that U.S. health care policy be informed with current and valid evidence on the consequences of uninsurance for health care and health outcomes, especially for the 45.7 million individuals without health insurance. From 2001 to 2004, the Institute of Medicine (IOM) issued six reports, which concluded that being uninsured was hazardous to people's health and recommended that the nation move quickly to implement a strategy to achieve health insurance coverage for all. The goal of this book is to inform the health reform policy debateâ€"in 2009â€"with an up-to-date assessment of the research evidence. This report addresses three key questions: What are the dynamics driving downward trends in health insurance coverage? Is being uninsured harmful to the health of children and adults? Are insured people affected by high rates of uninsurance in their communities?

Impact of Quality of Care on Healthcare Services Utilization in Type 2 Diabetes Adults

Author : Chetan Kulkarni
Publisher :
ISBN 13 :
Total Pages : 268 pages
Book Rating : 4.:/5 (94 download)

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Book Synopsis Impact of Quality of Care on Healthcare Services Utilization in Type 2 Diabetes Adults by : Chetan Kulkarni

Download or read book Impact of Quality of Care on Healthcare Services Utilization in Type 2 Diabetes Adults written by Chetan Kulkarni and published by . This book was released on 2014 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Silent Trauma

Author : U. S. Department of Health and Human Services
Publisher : CreateSpace
ISBN 13 : 9781478238911
Total Pages : 52 pages
Book Rating : 4.2/5 (389 download)

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Book Synopsis Silent Trauma by : U. S. Department of Health and Human Services

Download or read book Silent Trauma written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2012-07-13 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: The impact of type 2 diabetes on Southeast Asian (SEA) communities in the United States—a group that includes Cambodians, Hmong, Laotians, and Vietnamese—is driven by cultural, historical, and logistical factors. Understanding these factors is a fi rst step in identifying potential interventions. Though there is great diversity within the SEA subgroup, its members are united by a strong sense of their respective communities and a reverence for local leaders. Effective programs to overcome barriers to type 2 diabetes prevention and control must capitalize on these strengths, while taking into account the unique requirements of this population. The purpose of this paper is to: 1. Increase awareness among health care providers, decision makers, and organizations serving Asian Americans of the risk for type 2 diabetes in SEAs and potential impacting factors. 2. Highlight data collection issues, barriers to care, and special health care needs, and introduce successful models in reaching Southeast Asian populations. 3. Identify resources available to organizations, government agencies, health care providers, and others who work with SEAs in the United States. This monograph discusses the following: The data on diabetes prevalence, rates of complications, and health care quality measures among SEAs are limited; Overweight as a risk factor for type 2 diabetes in SEAs—and Asian Americans in general—is underrecognized. The risk for type 2 diabetes increases at a lower body mass index for Asians than for other ethnic groups. Qualitative evidence from focus groups with Asian Americans indicates many Asians believe themselves to be at lower risk for type 2 diabetes because of smaller average body build; SEAs experience major obstacles to diabetes diagnosis and management, including inadequate access to culturally appropriate health care, lack of insurance coverage, and language barriers. For example, many SEAs are unaware of their federally mandated right to interpreter services and do not request these services; Low cultural acceptance of preventive health services among SEAs reduces opportunities for risk assessment, opportunistic testing, timely diabetes diagnosis, and interventions for diabetes prevention and management; Diagnosis and culturally appropriate treatment of concomitant mental health disorders such as depression, anxiety, and post-traumatic stress disorder (PTSD) are key in diabetes management; Mental health conditions such as PTSD (resulting from trauma and torture), anxiety, and depression are highly prevalent among SEAs and further complicate diabetes self-care; and Cultural competency among health care providers who treat SEAs is critical to successful interventions for diabetes prevention and control.

Retooling for an Aging America

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309131952
Total Pages : 316 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Retooling for an Aging America by : Institute of Medicine

Download or read book Retooling for an Aging America written by Institute of Medicine and published by National Academies Press. This book was released on 2008-08-27 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.

Hispanics and the Future of America

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309164818
Total Pages : 502 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Hispanics and the Future of America by : National Research Council

Download or read book Hispanics and the Future of America written by National Research Council and published by National Academies Press. This book was released on 2006-02-23 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.

Medicaid Payment Systems

Author : Manjiri D. Pawaskar
Publisher :
ISBN 13 :
Total Pages : 152 pages
Book Rating : 4.:/5 (245 download)

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Book Synopsis Medicaid Payment Systems by : Manjiri D. Pawaskar

Download or read book Medicaid Payment Systems written by Manjiri D. Pawaskar and published by . This book was released on 2008 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: The type of health plan/insurance coverage could have a significant impact on the quality of care and healthcare service utilizations of Medicaid beneficiaries. Poor medication adherence is associated with worse glycemic control, development of complications and overall increased healthcare utilizations in type 2 diabetic patients. The objective of this study was to examine the impact of the type of health plan (Capitated vs. Fee-For-Service (FFS)) on the quality of care, medication adherence and healthcare service utilizations in type 2 diabetes Medicaid enrollees. This was a retrospective cohort study comprised of Medicaid enrollees with type 2 diabetes (n=8,581) who newly started oral pharmacotherapy. This study evaluated the Medstat MarketScan® MultiState Medicaid database from July 1, 2002 to December 31, 2005. Patients baseline characteristics such as demographic, clinical, medication-related and healthcare utilizations were extracted from the database. Patients were followed for 6 months before and 12 months after the index anti-diabetic medication to collect data on quality of care, medication adherence and healthcare service utilizations. Multiple log-linear regression analysis was used to predict medication adherence in type 2 diabetes patients. Multiple logistic regression analyses were employed to measure the quality of care (HbA1c tests, LDL-C tests, eye examinations) received by these patients while negative binomial regressions were used to examine healthcare service utilizations. Patients enrolled in capitated health plans had a higher likelihood of receiving better quality of care compared to those with FFS plans. However, medication adherence was significantly lower in patients with capitated plans. Patients with capitation were associated with considerably higher number of hospitalizations and emergency room (ER) visits but lower number of outpatient visits compared to those with FFS plans. Although capitated managed care plans are primarily used as a cost containment strategy in Medicaid programs, they may not be cost effective for the long term management of chronic conditions such as diabetes. It is essential to develop interventions involving a multidisciplinary team such as policy makers, payors, healthcare professionals and patients to improve medication adherence for optimal use of health care resources in type 2 diabetes Medicaid enrollees.

Insuring America's Health

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309091055
Total Pages : 225 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Insuring America's Health by : Institute of Medicine

Download or read book Insuring America's Health written by Institute of Medicine and published by National Academies Press. This book was released on 2004-02-14 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the Census Bureau, in 2003 more than 43 million Americans lacked health insurance. Being uninsured is associated with a range of adverse health, social, and economic consequences for individuals and their families, for the health care systems in their communities, and for the nation as a whole. This report is the sixth and final report in a series by the Committee on the Consequences of Uninsurance, intended to synthesize what is known about these consequences and communicate the extent and urgency of the issue to the public. Insuring America's Health recommends principles related to universality, continuity of coverage, affordability to individuals and society, and quality of care to guide health insurance reform. These principles are based on the evidence reviewed in the committee's previous five reports and on new analyses of past and present federal, state, and local efforts to reduce uninsurance. The report also demonstrates how those principles can be used to assess policy options. The committee does not recommend a specific coverage strategy. Rather, it shows how various approaches could extend coverage and achieve certain of the committee's principles.

Treatment for Diabetic African Americans and Latinos with Depression

Author : Jaclynn Marie Hawkins
Publisher :
ISBN 13 :
Total Pages : 92 pages
Book Rating : 4.:/5 (35 download)

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Book Synopsis Treatment for Diabetic African Americans and Latinos with Depression by : Jaclynn Marie Hawkins

Download or read book Treatment for Diabetic African Americans and Latinos with Depression written by Jaclynn Marie Hawkins and published by . This book was released on 2009 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Psychosocial Care for People with Diabetes

Author : Deborah Young-Hyman
Publisher : American Diabetes Association
ISBN 13 : 1580404391
Total Pages : 330 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Psychosocial Care for People with Diabetes by : Deborah Young-Hyman

Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.