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Keywords

Diabetes; Diabetes – Complications; Hospital patients; Medically uninsured persons; Nevada; Non-insulin-dependent diabetes; Uninsured

Abstract

This study demonstrates substantial differences between Nevada and the national average in patterns of hospital based care in patients with type 2 diabetes. Diabetic patients in Nevada are more likely to be hospitalized through the emergency department, and more likely to be admitted for a condition related to diabetes. Moreover, in Nevada, Medicaid and uninsured patients with diabetes are more likely to experience adverse outcomes then their privately insured counterparts. These differences may be primarily reflective of variances in access to ambulatory care, care seeking behavior, and availability of health services and facilities. Policies promoting expansion of health care benefits to include coverage for people at risk for type 2 diabetes and strengthening the ambulatory care services network, and system in the state, is necessary to reduce discrepancies in patterns of hospitalization and improve outcomes.