Shalev V, Chodick G, Heymann A D, Kokia E
Medical Division, Maccabi Healthcare Services, 27 HaMered Street, Tel Aviv 68125, Israel.
Public Health. 2005 Jan;119(1):45-9. doi: 10.1016/j.puhe.2004.03.004.
To describe differences in healthcare utilization and health indicators of patients with diabetes, according to gender.
A population-based outcome study conducted on 21,277 diabetic patients between the ages of 45 and 64 years who are members of the second largest health maintenance organization in Israel.
Data on healthcare utilization (process indicators) and health problems (outcome indicators) were obtained from computerized medical records that are stored routinely by the organization. The study period was the year 2002.
Significantly (P < 0.05) lower healthcare utilization was observed in men compared with women for all indicators examined (number of visits to physicians and the performance of urine, lipids and creatinine tests). Nonetheless, men showed better health outcomes (lower low-density lipoprotein cholesterol, triglycerides, HbA1c).
Women who suffer from diabetes use more healthcare services and have a higher morbidity rate compared with men. Future research should seek to identify the factors contributing to this observation, which can potentially make an important contribution to the development of disease management strategies that target diabetic women.
根据性别描述糖尿病患者医疗保健利用情况和健康指标的差异。
对以色列第二大健康维护组织中年龄在45至64岁之间的21277名糖尿病患者进行基于人群的结局研究。
医疗保健利用情况（过程指标）和健康问题（结局指标）的数据来自该组织常规存储的计算机化医疗记录。研究时间段为2002年。
在所有检查指标（看医生次数以及尿液、血脂和肌酐检测情况）方面，男性的医疗保健利用率显著低于女性（P < 0.05）。尽管如此，男性的健康结局更好（低密度脂蛋白胆固醇、甘油三酯、糖化血红蛋白水平更低）。
与男性相比，患糖尿病的女性使用更多的医疗服务，发病率更高。未来的研究应致力于确定导致这一现象的因素，这可能对制定针对糖尿病女性的疾病管理策略做出重要贡献。
