Olesiuk William J, Farley Joel F, Domino Marisa Elena, Ellis Alan R, Morrissey Joseph P
J Health Care Poor Underserved. 2017;28(3):1030-1041. doi: 10.1353/hpu.2017.0094.
To determine whether Medicaid recipients with co-occurring diabetes and schizophrenia that are medical-home-enrolled are more likely to receive guideline-concordant diabetes care than those who are not medical-home-enrolled, controlling for confounders.
We used administrative data on adult, non-dually eligible North Carolina Medicaid beneficiaries with diagnoses of both diabetes and schizophrenia (N= 3,897) for fiscal years 2008-2010. We evaluated the relationship between medical-home-enrollment and receipt of recommended diabetes care reimbursed by Medicaid (lipid profiles, HbA1c tests, medical attention for nephropathy, and eye exams for those over 30), using fixed-effects regression models on person-month level data.
There was a statisti-cally significant, positive effect of medical home enrollment on receipt of Medicaid-funded eye exams, HbA1c tests, and medical attention for nephropathy, but not receipt of lipid profiles.
For Medicaid enrollees with diabetes and schizophrenia, medical home enrollment is generally associated with greater likelihood of receiving guideline-concordant diabetes care.
为了确定同时患有糖尿病和精神分裂症且登记在医疗之家的医疗补助受助者，相较于未登记在医疗之家的受助者，在控制混杂因素的情况下，是否更有可能接受符合指南的糖尿病护理。
我们使用了2008 - 2010财年北卡罗来纳州成年非双重资格医疗补助受益人的行政数据，这些受益人同时患有糖尿病和精神分裂症（N = 3897）。我们使用个人月度水平数据的固定效应回归模型，评估了医疗之家登记与医疗补助报销的推荐糖尿病护理（血脂谱、糖化血红蛋白检测、肾病医疗护理以及30岁以上人群的眼部检查）接受情况之间的关系。
医疗之家登记对接受医疗补助资助的眼部检查、糖化血红蛋白检测以及肾病医疗护理有统计学上显著的积极影响，但对血脂谱的接受情况没有影响。
对于患有糖尿病和精神分裂症的医疗补助参保者，医疗之家登记通常与接受符合指南的糖尿病护理的可能性更大相关。
