The Missed Patient With Diabetes

Zhang, Xuanping; Geiss, Linda S.; Cheng, Yiling J.; Beckles, Gloria L.; Gregg, Edward W.; Kahn, Henry S.

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The Missed Patient With Diabetes

Sep 2008
By Zhang, Xuanping ; Geiss, Linda S. ; Cheng, Yiling J. ; ...
Source: Diabetes Care. 31(9):1748-1753.

[PDF-323.48 KB]

English

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Details:

Alternative Title:

Diabetes Care
Personal Author:

Zhang, Xuanping ; Geiss, Linda S. ; Cheng, Yiling J. ; Beckles, Gloria L. ; Gregg, Edward W. ; ... More +

Zhang, Xuanping ; Geiss, Linda S. ; Cheng, Yiling J. ; Beckles, Gloria L. ; Gregg, Edward W. ; Kahn, Henry S. Less -
Description:

This study examined the association between access to health care and three classifications of diabetes status: diagnosed, undiagnosed, and no diabetes.|Using data from the 1999-2004 National Health and Nutrition Examination Survey, we identified 110 "missed patients" (fasting plasma glucose >125 mg/dl but without diagnoses of diabetes), 704 patients with diagnosed diabetes, and 4,782 people without diabetes among adults aged 18-64 years. The population percentage undetected among adults with diabetes and the odds ratio of being undetected among adults who reported not having diabetes were compared between groups based on their access to health care.|Among those with diabetes, the percentages having undetected diabetes were 42.2% (95% CI 36.7-47.7) among the uninsured, 25.9% (22.9-28.9) among the insured, 49.3% (43.0-55.6) for those uninsured >1 year, 38.7% (29.2-48.2) for those uninsured 1 year (2.6 [1.4-5.0]).|Limited access to health care, especially being uninsured and going without insurance for a long period, was significantly associated with being a "missed patient" with diabetes. Efforts to increase detection of diabetes may need to address issues of access to care.
Subjects:

[+]

Adolescent Adult Delivery Of Health Care Diabetes Mellitus Diabetes Mellitus, Type 2 Diagnostic Errors Female Health Services Accessibility Health Services Needs And Demand Health Surveys Humans Income Insurance, Health Insurance Coverage Male Middle Aged Racial Groups Socioeconomic Factors
Source:

Diabetes Care. 31(9):1748-1753.
Document Type:

Journal Article
Place as Subject:

United States
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:270b1bebeb66e7dbb4940b215fe198739097ea43efe53f82e840f1b7e9b7e12e
Download URL:

https://stacks.cdc.gov/view/cdc/3662/cdc_3662_DS1.pdf
File Type:

	1748.nxml	txt
	license.txt	txt
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	zdc0090871230001.jpg	jpeg

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