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Changes Over Time in High Out-of-Pocket Health Care Burden in U.S. Adults With Diabetes, 2001–2011

OBJECTIVE: High out-of-pocket (OOP) costs can be an obstacle to health care access and treatment compliance. This study investigated trends in high OOP health care burden in people with diabetes. RESEARCH DESIGN AND METHODS: Using Medical Expenditure Panel Survey 2001–2011 data, we examined trends i...

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Autores principales: Li, Rui, Barker, Lawrence E., Shrestha, Sundar, Zhang, Ping, Kenrick Duru, O., Pearson-Clarke, Tony, Gregg, Edward W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914036/
https://www.ncbi.nlm.nih.gov/pubmed/24667459
http://dx.doi.org/10.2337/dc13-1997
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author Li, Rui
Barker, Lawrence E.
Shrestha, Sundar
Zhang, Ping
Kenrick Duru, O.
Pearson-Clarke, Tony
Gregg, Edward W.
author_facet Li, Rui
Barker, Lawrence E.
Shrestha, Sundar
Zhang, Ping
Kenrick Duru, O.
Pearson-Clarke, Tony
Gregg, Edward W.
author_sort Li, Rui
collection PubMed
description OBJECTIVE: High out-of-pocket (OOP) costs can be an obstacle to health care access and treatment compliance. This study investigated trends in high OOP health care burden in people with diabetes. RESEARCH DESIGN AND METHODS: Using Medical Expenditure Panel Survey 2001–2011 data, we examined trends in the proportion of people aged 18–64 years with diabetes facing a high OOP burden. We also examined whether the trend differed by insurance status (private insurance, public insurance, or no insurance) or by income level (poor and near poor, low income, middle income, or high income). RESULTS: In 2011, 23% of people with diabetes faced high OOP burden. Between 2001–2002 and 2011, the proportion of people facing high OOP burden fell by 5 percentage points (P < 0.01). The proportion of those who were publicly insured decreased by 22 percentage points (P < 0.001) and of those who were uninsured by 12 percentage points (P = 0.01). Among people with diabetes who were poor and near poor and those with low income, the proportion facing high OOP burden decreased by 21 (P < 0.001) and 13 (P = 0.01) percentage points, respectively; no significant change occurred in the proportion with private insurance or middle and high incomes between 2001–2002 and 2011. CONCLUSIONS: The past decade has seen a narrowing of insurance coverage and income-related disparities in high OOP burden in people with diabetes; yet, almost one-fourth of all people with diabetes still face a high OOP burden.
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spelling pubmed-49140362016-06-20 Changes Over Time in High Out-of-Pocket Health Care Burden in U.S. Adults With Diabetes, 2001–2011 Li, Rui Barker, Lawrence E. Shrestha, Sundar Zhang, Ping Kenrick Duru, O. Pearson-Clarke, Tony Gregg, Edward W. Diabetes Care Article OBJECTIVE: High out-of-pocket (OOP) costs can be an obstacle to health care access and treatment compliance. This study investigated trends in high OOP health care burden in people with diabetes. RESEARCH DESIGN AND METHODS: Using Medical Expenditure Panel Survey 2001–2011 data, we examined trends in the proportion of people aged 18–64 years with diabetes facing a high OOP burden. We also examined whether the trend differed by insurance status (private insurance, public insurance, or no insurance) or by income level (poor and near poor, low income, middle income, or high income). RESULTS: In 2011, 23% of people with diabetes faced high OOP burden. Between 2001–2002 and 2011, the proportion of people facing high OOP burden fell by 5 percentage points (P < 0.01). The proportion of those who were publicly insured decreased by 22 percentage points (P < 0.001) and of those who were uninsured by 12 percentage points (P = 0.01). Among people with diabetes who were poor and near poor and those with low income, the proportion facing high OOP burden decreased by 21 (P < 0.001) and 13 (P = 0.01) percentage points, respectively; no significant change occurred in the proportion with private insurance or middle and high incomes between 2001–2002 and 2011. CONCLUSIONS: The past decade has seen a narrowing of insurance coverage and income-related disparities in high OOP burden in people with diabetes; yet, almost one-fourth of all people with diabetes still face a high OOP burden. 2014-03-25 2014-06 /pmc/articles/PMC4914036/ /pubmed/24667459 http://dx.doi.org/10.2337/dc13-1997 Text en See http://creativecommons.org/licenses/bync-nd/3.0/ for details
spellingShingle Article
Li, Rui
Barker, Lawrence E.
Shrestha, Sundar
Zhang, Ping
Kenrick Duru, O.
Pearson-Clarke, Tony
Gregg, Edward W.
Changes Over Time in High Out-of-Pocket Health Care Burden in U.S. Adults With Diabetes, 2001–2011
title Changes Over Time in High Out-of-Pocket Health Care Burden in U.S. Adults With Diabetes, 2001–2011
title_full Changes Over Time in High Out-of-Pocket Health Care Burden in U.S. Adults With Diabetes, 2001–2011
title_fullStr Changes Over Time in High Out-of-Pocket Health Care Burden in U.S. Adults With Diabetes, 2001–2011
title_full_unstemmed Changes Over Time in High Out-of-Pocket Health Care Burden in U.S. Adults With Diabetes, 2001–2011
title_short Changes Over Time in High Out-of-Pocket Health Care Burden in U.S. Adults With Diabetes, 2001–2011
title_sort changes over time in high out-of-pocket health care burden in u.s. adults with diabetes, 2001–2011
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914036/
https://www.ncbi.nlm.nih.gov/pubmed/24667459
http://dx.doi.org/10.2337/dc13-1997
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