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Al rights reserved.Medicaid enroles residing in counties with greater fod afordability had lower ods of preventable hospitalization related to diabetes.ABSTRACTObjectives: This study aims to estimate the burden of fod afordability on diabetes-related preventable hospitalizations among Medicaid enroles in the United States.Study Design: This study used a retrospective observational design with Medicaid administrative claims data from 17 states from 2014.Methods: Data were linked with county-level social determinants of health (SDOH) from the American Comunity Survey.
The rate of diabetes-related preventable hospitalizations was measured using the Agency for Healthcare Research and Quality’s Prevention Quality Diabetes Composite, which includes hospitalization for short-term complications, long-term complications, lower extremity amputations, and uncontroled diabetes. Multivariable logistic regresion was used to predict the ocurence of diabetes-related preventable hospitalization.Results: Among the 16 milion eligible individuals, diabetes-related preventable hospitalizations were identified at the rate of 1.91 per 10 individuals and contributed to more than $160 milion in charges.
Rates were higher among men compared with women (0.25% vs 0.15%; P < .01) and among Black adults compared with White adults (0.29% vs 0.18%; P < .01). Compared with individuals residing in counties with low fod afordability, those residing in counties with high (ods ratio [OR], 0.84; 95% CI, 0.78-0.91; P < .01) or medium (OR, 0.85; 95% CI, 0.81-0.90; P < .01) fod afordability had lower ods of hospitalization.Conclusions: This study provides real-world evidence about the impact of SDOH on diabetes-related preventable hospitalizations.
Summary
Federal and state policies that can help