From: No-shows to primary care appointments: subsequent acute care utilization among diabetic patients
N = 8787 | N (%) | ED visits in | Pvalue* | Hospital admissions | Pvalue* | |
---|---|---|---|---|---|---|
6 months | in 6 months | |||||
mean (SD) | mean (SD) | |||||
Gender | Female | 5268(59.9%) | 0.43(1.16) | <0.0001 | 0.16(0.75) | 0.03 |
Male | 3519(40.1%) | 0.36(1.09) | - | 0.14(0.52) | - | |
Age | 18–30 | 314(3.6%) | 0.68(1.42) | <0.0001 | 0.13(0.49) | 0.005 |
31–45 | 1676(19.1%) | 0.56(1.56) | <0.0001 | 0.12(0.48) | <0.0001 | |
46–70 | 5695(64.8%) | 0.36(1.01) | 0.28 | 0.15(0.73) | <0.0001 | |
≥ 70 | 1102(12.5%) | 0.33(0.80) | - | 0.21(0.62) | - | |
Race | Black | 3655(41.6%) | 0.50(1.22) | <0.0001 | 0.17(0.65) | 0.01 |
Other | 782(8.9%) | 0.28(0.98) | 0.001 | 0.13(1.21) | 0.11 | |
Unknown | 383(4.4%) | 0.18(0.56) | <0.0001 | 0.08(0.45) | 0.0004 | |
White | 3967(45.2%) | 0.36(1.11) | - | 0.15(0.54) | - | |
Insurance | Medicaid | 779(8.9%) | 0.74(1.88) | <0.0001 | 0.27(1.00) | <0.0001 |
Medicare | 2746(31.3%) | 0.41(1.03) | <0.0001 | 0.21(0.63) | <0.0001 | |
Self-pay | 471(5.4%) | 0.47(1.49) | <0.0001 | 0.11(0.39) | 0.04 | |
County | 2792(31.8%) | 0.46(1.16) | <0.0001 | 0.13(0.78) | <0.0001 | |
Tax-funded | ||||||
Program | ||||||
Commercial Insurance | 1999(22.8%) | 0.17(0.56) | - | 0.08(0.35) | - | |
Cardiovascular | Yes | 1313(14.9%) | 0.53(1.30) | <0.0001 | 0.32(0.74) | <0.0001 |
No | 7474(85.1%) | 0.38(1.10) | - | 0.13(0.65) | - | |
Nephropathy | Yes | 526(6.0%) | 0.63(1.43) | <0.0001 | 0.46(1.66) | <0.0001 |
No | 8261(94.0%) | 0.39(1.11) | - | 0.13(0.54) | - | |
Charlson Score | 1 | 6495(73.9%) | 0.34(1.00) | <0.0001 | 0.10(0.50) | <0.0001 |
2 | 1497(17.0%) | 0.53(1.46) | <0.0001 | 0.20(0.61) | <0.0001 | |
3+ | 795(9.1%) | 0.68(1.37) | - | 0.47(1.44) | - | |
ED visits within 6 months prior to last scheduled primary care appointment | Yes | 2584(29.4%) | 0.86(1.75) | <0.0001 | -+ | - |
No | 6203(70.6%) | 0.21(0.65) | - | -+ | - | |
Hospital admissions within 6 months prior to last scheduled primary care appointment | Yes | 1081(12.3%) | -+ | - | 0.58(1.52) | <0.0001 |
No | 7706(87.7%) | -+ | - | 0.09(0.39) | - | |
No-show at last scheduled primary care appointment | Yes | 1421(16.2%) | 0.56(1.48) | <0.0001 | 0.22(0.83) | <0.0001 |
No | 7366(83.8%) | 0.38(1.05) | - | 0.14(0.63) | - |