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Receipt of Diabetes Specialty Care and Management Services by Older Adults With Diabetes in the U.S., 2015-2019: An Analysis of Medicare Fee-for-Service Claims.
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- Author(s): Kahkoska AR;Kahkoska AR;Kahkoska AR;Kahkoska AR; Busby-Whitehead J; Busby-Whitehead J; Busby-Whitehead J; Jonsson Funk M; Jonsson Funk M; Pratley RE; Pratley RE; Weinstock RS; Weinstock RS; Young LA; Young LA; Weinstein JM; Weinstein JM
- Source:
Diabetes care [Diabetes Care] 2024 Jul 01; Vol. 47 (7), pp. 1181-1185.- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: American Diabetes Association Country of Publication: United States NLM ID: 7805975 Publication Model: Print Cited Medium: Internet ISSN: 1935-5548 (Electronic) Linking ISSN: 01495992 NLM ISO Abbreviation: Diabetes Care Subsets: MEDLINE
- Publication Information: Publication: Alexandria Va : American Diabetes Association
Original Publication: New York, American Diabetes Assn. - Subject Terms: Medicare*/statistics & numerical data ; Fee-for-Service Plans*/statistics & numerical data ; Diabetes Mellitus, Type 2*/therapy; Humans ; United States ; Aged ; Female ; Male ; Aged, 80 and over ; Diabetes Mellitus/therapy ; Diabetes Mellitus/epidemiology ; Diabetes Mellitus, Type 1/therapy ; Diabetes Mellitus, Type 1/economics
- Abstract: Objective: We characterized the receipt of diabetes specialty care and management services among older adults with diabetes.
Research Design and Methods: Using a 20% random sample of fee-for-service Medicare beneficiaries aged ≥65 years, we analyzed cohorts of type 1 diabetes (T1D) or type 2 diabetes (T2D) with history of severe hypoglycemia (HoH), and all other T2D annually from 2015 to 2019. Outcomes were receipt of office-based endocrinology care, diabetes education, outpatient diabetes health services, excluding those provided in primary care, and any of the aforementioned services.
Results: In the T1D cohort, receipt of endocrinology care and any service increased from 25.9% and 29.2% in 2015 to 32.7% and 37.4% in 2019, respectively. In the T2D with HoH cohort, receipt of endocrinology care and any service was 13.9% and 16.4% in 2015, with minimal increases. Age, race/ethnicity, residential setting, and income were associated with receiving care.
Conclusions: These findings suggest that many older adults may not receive specialty diabetes care and underscore health disparities.
(© 2024 by the American Diabetes Association.) - References: Diabetes Care. 2022 Jul 7;45(7):1549-1557. (PMID: 35796766)
MMWR Morb Mortal Wkly Rep. 2014 Nov 21;63(46):1045-9. (PMID: 25412060)
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Diabetes Technol Ther. 2023 Jun;25(S3):S56-S64. (PMID: 37306446)
Clin Epidemiol. 2018 Dec 17;11:1-15. (PMID: 30588119)
Lancet Diabetes Endocrinol. 2020 Oct;8(10):855-867. (PMID: 32946822)
JAMA. 2019 Apr 2;321(13):1304-1305. (PMID: 30848814)
J Clin Endocrinol Metab. 2019 May 1;104(5):1520-1574. (PMID: 30903688)
Pediatr Diabetes. 2014 Dec;15(8):573-84. (PMID: 24913103)
MMWR Morb Mortal Wkly Rep. 2019 Nov 01;68(43):961-966. (PMID: 31671084)
Diabetes Care. 2021 Sep;44(9):2025-2032. (PMID: 34353883)
Diabetes Care. 2010 Dec;33(12):2573-9. (PMID: 21115767) - Grant Information: K12 TR004416 United States TR NCATS NIH HHS; K12TR004416 United States TR NCATS NIH HHS
- Publication Date: Date Created: 20240522 Date Completed: 20240620 Latest Revision: 20240629
- Publication Date: 20240629
- Accession Number: PMC11208748
- Accession Number: 10.2337/dc23-1982
- Accession Number: 38776523
- Source:
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