Impact of Enhanced Healthcare on Labor Market Participation

慢性健康状况，如糖尿病，导致劳动力参与率降低，进而影响获得医疗保健和健康保险的机会。此外，一些地区未参保和参保不足的居民比例也明显高于其他地区。本研究探讨了对未参保居民加强糖尿病护理对劳动力参与、经济成果以及整体健康结果的影响。这项研究为慢性疾病（如糖尿病）对劳动力市场结果的影响以及改善糖尿病护理管理的策略提供了重要见解。研究人员与社区利益相关者合作，通过随机对照试验（RCT）的抽签选择，为未投保的个人提供增强的糖尿病护理。被选中的个体接受额外的糖尿病教育、糖尿病用品和护理，以帮助控制糖尿病，并将随访一年以跟踪结果。除经济指标外，还测量了相关的健康结果，如糖尿病维持、截肢、发病率和死亡率。本研究解决了有关医疗保健利用、劳动力参与、糖尿病管理以及其他健康和经济结果的问题。最终，这些结果有助于为未来与糖尿病护理、教育和医疗资源相关的公共卫生基金规划和分配提供信息，以改善服务不足社区的经济成果。该奖项反映了美国国家科学基金会的法定使命，并通过使用基金会的知识价值和更广泛的影响审查标准进行评估，被认为值得支持。

Chronic health conditions, such as diabetes, result in lower workforce participation, which in turn can affect access to health care and health insurance. Additionally, the rate of uninsured and underinsured residents in some regions is also significantly higher than in others. This study investigates the impact of enhanced diabetes care for uninsured residents on workforce participation and economic outcomes as well as overall health outcomes. This study provides critical insights into the impact of chronic illnesses, such as diabetes, on labor market outcomes and on strategies for improving diabetes care management.Researchers partners with community stakeholders to provide enhanced diabetes care to uninsured individuals through a lottery selection as part of a randomized control trial (RCT). Individuals selected receive additional diabetes education, diabetic supplies, and care to help control diabetes and will be followed for a year to track outcomes. Relevant health outcomes such as diabetic maintenance, amputations, morbidity, and mortality are measured in addition to economic indicators. This study addresses questions regarding healthcare utilization, workforce participation, diabetes management, and other health and economic outcomes. Ultimately, these results help to inform future programs and allocation of public health funds in relation to diabetes care, education, and healthcare resources to improve economic outcomes among underserved communities.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.