The use of health care services by people with diabetes in rural areas
The use of health care services by people with diabetes in rural areas
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DOI：
10.1111/j.1748-0361.1998.tb00614.x
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发表时间：
1998-03-01
影响因子：
4.9
通讯作者：
Dirani, R
中科院分区：
文献类型：
--
作者：
Dansky, KH;Dirani, R
目前的医疗保健标准支持这样的观点，即糖尿病需要在门诊环境中进行管理，从而避免昂贵的住院治疗。然而，最近关于进入洞穴的研究表明，农村居民无法获得与城市居民相同的糖尿病护理服务。本研究根据地理位置确定了医院护理、家庭健康就诊和医生办公室就诊三种服务的使用差异。作者使用 6,698 名医疗保险受益人的样本，在控制其他类型的服务使用和个人因素后，进行了多变量方差分析，以测试地理差异对每种服务使用类型的影响。结果显示，不同地理类别之间存在显着差异，人口最稀少的社区中的糖尿病患者报告的就诊次数少于城市人群，而家庭健康就诊次数较多。由于这种模式可能对健康结果产生负面影响，因此需要进行更多研究来确定农村地区管理糖尿病等慢性病所需的最佳服务组合。
Current standards of health care support the view that diabetes call be managed in an outpatient setting, thereby preventing costly hospitalization. Yet, recent studies on access to cave suggest that rural residents do not receive the same services for diabetes care as their urban counterparts. This study identifies differences in use for three types of services hospital care, home health visits, and physician office visits -by geographical location. Using It sample of 6,698 Medicare beneficiaries, the authors performed multivariate analysis of variance to test the influence of,geographical differences on each type of service use after controlling for the other types of service use and individual factors. Results showed significant differences among the geographical categories, with diabetic individuals in the most sparsely populated communities reporting fewer physician office visits and more home health visits than their urban counter parts. Because this pattern may have a negative impact on health outcomes, additional research is needed to determine the optimal array of services necessary to manage chronic diseases, such as diabetes, in rural areas.