Download: 215
View: 552


Minorities with diabetes are at an increased risk for low quality care and access to resource utilization,
specifically health insurance coverage which often determines access to health care. The purpose of the
study was to examine the relationship between insurance coverage and diabetes preventive care after
adjusting for patient, physician care, and contextual characteristics. Study used data from the 2010 Medical
Expenditure Panel Survey (MEPS). Patients represented a weighted total of 20,741,963 (n=2,182). The
dependent variables included five measures of the recommended components of diabetes preventive care:
receipt of A1C test, retinal eye exam, foot care, blood cholesterol check, and flu vaccination. The
independent variables consisted of sociodemographic, physician care, and contextual characteristics. Receipt
of each of the diabetes quality and preventive care measures was strongly associated with insurance coverage.
Insured individuals were more likely to receive treatment than uninsured. However, the impact of insurance
coverage was attenuated after adjusting for individual, physician care, and contextual characteristics.
Physician care was the strongest predictor of diabetes preventive care. Our study identified the importance
of health insurance coverage on diabetes preventive care. Physician care and contextual factors made a
significant impact in receipt of diabetes preventive care.

Related Subjects
Environmental Sciences
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Submit My Manuscript

Phone: +31 (0)70 2190600 | E-Mail:

Address: Cultura Building (3rd Floor) Wassenaarseweg 20 2596CH The Hague THE NETHERLANDS


This site is protected by copyright law. This site is destined for the personal or internal use of our clients and business associates, whereby it is not permitted to copy the site in any other way than by downloading it and looking at it on a single computer, and/or by printing a single hard-copy. Without previous written permission from Lectito BV, this site may not be copied, passed on, or made available on a network in any other manner.

Content Alert

Copyright © 2015-2017 Lectito BV All rights reserved.