• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Disability and health journal >Quality of diabetes care for adults with developmental disabilities
【24h】

Quality of diabetes care for adults with developmental disabilities

机译：患有发育障碍的成年人的糖尿病护理质量

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Given that individuals with developmental disabilities have a history of difficulty accessing appropriate health care, possess numerous risk factors for diabetes, and frequently have unique needs within the health care setting, it is important to conduct surveillance research to determine the quality of their diabetes care.Objective/Hypothesis: We assessed the quality of diabetes care for adults with developmental disabilities enrolled in Kansas Medicaid. Developmental disability was defined in accordance with Kansas Medicaid program eligibility and included individuals with intellectual disability, cerebral palsy, autism, and/or seizure disorder.Methods: We identified a retrospective cohort of persons with developmental disabilities who were also diabetic and continuously enrolled in Kansas Medicaid. We tracked their quality of care measures (HbAic/glucose testing, cholesterol testing, eye examinations, microalbuminaria screening, and primary care visits) across the subsequent 12 months. Quality care measures were evaluated in relation to basic demographic variables and comorbid hypertension using unconditional logistic regression.Results: Among 5,960 adults with developmental disability, 666 had diabetes (11.2%). Annual testing rates were Hb_(A1c)/glucose testing, 51.7%; cholesterol, 44.3%; eye examinations, 29,3%; and microalbuminaria, 18.5%. Nearly all (93.5%) had contact with a primary care provider during the period. Comorbid hypertension was associated with higher rates of Hb_(A1c), cholesterol testing, and primary care visits. Dual eligibility was associated with lower Hb_(A1c)/glucose testing and cholesterol testing rates but comparable rates for other measures. Caucasians were more likely to have had an eye examination but less likely to have had their microalbumin checked.Conclusions: Adults with developmental disabilities and diabetes who were enrolled in the Kansas Medicaid Program were screened at lower frequency than published national figures for key quality indicators of diabetes care. These results call for action to find approaches to improve their quality of care. Further work is needed to understand the barriers to appropriate care and incentives that will remedy these gaps. In addition, research is needed to determine the accuracy of diabetes identification, treatment, and monitoring of adults with developmental disabilities.
机译：背景：由于发育障碍的人有难以获得适当医疗保健的历史，患有多种糖尿病的危险因素，并且在医疗保健环境中经常有独特的需求，因此进行监测研究以确定他们的糖尿病质量非常重要。目的/假设：我们评估了参加堪萨斯医疗补助计划的发育障碍成年人的糖尿病护理质量。发展性残疾是根据堪萨斯州医疗补助计划的资格定义的，包括智力残疾，脑瘫，自闭症和/或癫痫发作的患者。方法：我们回顾性研究了一群患有糖尿病并持续参加堪萨斯州的发展性残疾人。医疗补助。在接下来的12个月中，我们追踪了他们的护理质量（HbAic /葡萄糖测试，胆固醇测试，眼睛检查，微量白蛋白筛查和初级保健就诊）。结果：在5,960名发育障碍的成年人中，有666名患有糖尿病（11.2％），与基本人口统计学变量和合并症高血压相关的质量护理措施得到了评估。年检测率为Hb_（A1c）/葡萄糖检测，为51.7％;胆固醇44.3％;眼科检查，占29.3％;和微量白蛋白，占18.5％。在此期间，几乎所有人（93.5％）与初级保健提供者接触。合并症高血压与Hb_（A1c），胆固醇测试和初级保健就诊率较高相关。双重资格与较低的Hb_（A1c）/葡萄糖检测和胆固醇检测率相关，但与其他检测方法相近。高加索人接受眼部检查的可能性更高，但接受微量白蛋白检查的可能性较小。结论：被纳入堪萨斯医疗补助计划的发育障碍和糖尿病成年人的筛查频率低于国家公布的关键质量指标糖尿病护理。这些结果要求采取行动以找到改善其护理质量的方法。需要做进一步的工作来了解适当护理和激励措施的障碍，以弥补这些差距。另外，需要进行研究以确定成人发育障碍的糖尿病识别，治疗和监测的准确性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号