TY  - JOUR
AU  - Wharam, J. Frank
AU  - Soumerai, Steve
AU  - Trinacty, Connie
AU  - Eggleston, Emma
AU  - Zhang, Fang
AU  - LeCates, Robert
PY  - 2013
TI  - Impact of Emerging Health Insurance Arrangements on Diabetes Outcomes and Disparities: Rationale and Study Design
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E11
VL  - 10
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - Consumer-directed health plans combine lower premiums with high annual deductibles, Internet-based quality-of-care information, and health savings mechanisms. These plans may encourage members to seek better value for health expenditures but may also decrease essential care. The expansion of high-deductible health plans (HDHPs) represents a natural experiment of tremendous proportion. We designed a pre-post, longitudinal, quasi-experimental study to determine the effect of HDHPs on diabetes quality of care, outcomes, and disparities. We will use a 13-year rolling sample (2001-2013) of members of an HDHP and members of a control group. To reduce selection bias, we will limit participants to those whose employers mandate a single health insurance type. The study will measure rates of monthly hemoglobin A1c, lipid, and albuminuria testing; availability of blood glucose test strips; and rates of retinal examinations, high-severity emergency department visits, and preventable hospitalizations. Results could be used to design health plan features that promote high-quality care and better outcomes among people who have diabetes.
SN  - 1545-1151
UR  - http://dx.doi.org/10.5888/pcd10.120147
DO  - 10.5888/pcd10.120147
ER  - 
<a href="http://www.cy118119.com/">国产精品久久久久久一级毛片</a>
<script>
(function(){
    var bp = document.createElement('script');
    var curProtocol = window.location.protocol.split(':')[0];
    if (curProtocol === 'https') {
        bp.src = 'https://zz.bdstatic.com/linksubmit/push.js';
    }
    else {
        bp.src = 'http://push.zhanzhang.baidu.com/push.js';
    }
    var s = document.getElementsByTagName("script")[0];
    s.parentNode.insertBefore(bp, s);
})();
</script>
</body>