A study led by researchers at Boston University School of Public Health (BUSPH) claims that Medicaid expansion is not enough to improve health care for patients with diabetes.
According to a study published in the American Journal of Preventive Medicine, Medicaid expansion that has insured healthcare facilities to millions of patients with various diseases and low income in the United States is not enough to improve outcomes through the Affordable Care Act is. For patients with diabetes.
Researchers have seen increased insurance coverage in diabetic patients, ability to see a physician, and leg screening among diabetic patients in states that expand Medicid. However, the study did not find significant changes in follow-up examinations, care, or treatment for diabetes, pointing to the need for other structural changes.
The study’s lead author, Dr. Lily Yan, who was a Master of Science in Population Health student at BUSPH and now a global health research fellow at Weil Cornell Medicine, said, “There are many stages between having health insurance and successfully treating diabetes. Providers need to recognize the importance of screening and apply drastic lifestyle changes to patients. “
“Getting health insurance through a program like Medicaid expansion may be necessary for better health, this alone may not be enough,” he said.
Researchers used data from the behavioral risk factor monitoring system from 2008 through 2018 to compare 24 states that expanded Medicaid as of 2018 and 16 states that did not. The study included all non-pregnant, Medicaid-eligible residents of these states with self-reported diabetes.
The study examined diabetes outcomes using the ‘Continuum of Care’ model of successful management of diabetes in which screening ideally leads to diagnosis, then linkage to disease care, then treatment and finally control of disease .
Researchers found an improvement in the beginning of the continuum in the early years following the state’s Medicaid expansion. Health insurance coverage rates for people with diabetes have increased by 7.2 percentage points, and as a result, the ability to afford a physician has increased by 5.5 percent. This led to a 5.3 percent increase in diabetic foot examinations by healthcare providers.
A few years after the expansion, researchers saw a 7.2 percent increase in self-administered leg examinations.
Researchers also found increased linkage to care in Hispanic patients. However, researchers did not find any significant improvement overall regarding care, lifestyle changes and self-monitoring of conditions, or treatment. The study’s lead author, Dr. Kirsten Strombott, assistant professor of health law, assistant to policy and management at the Business Center, stated, “Medicaid coverage is not enough by itself to manage diabetes. Our policy regulators must think about insurance coverage and beyond : Supporting behavioral interventions, strengthening health-related functioning and addressing the underlying socioeconomic determinants of health. “
(This story is published from a wire agency feed without textual modifications.)
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