1655-P: Primary Care Visits and Ambulatory Care Sensitive Diabetes Hospitalizations among Adult Alabama Medicaid Beneficiaries

• DOI: 10.2337/db19-1655-p
• Publication Date: 2019-06-05T01:28:36Z
• Authors: JANET M. BRONSTEIN; LEI HUANG; APRIL A. AGNE; FAVEL L. MONDESIR; CAROLINE A. PRESLEY; KEVIN R. RIGGS; MARIA PISU; EMILY B. LEVITAN; ANDREA CHERRINGTON
• Keywords: Specialty

Objective: To describe patterns of care use for adult Medicaid beneficiaries with diabetes and the association between primary utilization Ambulatory Care Sensitive (ACS) hospitalizations. Methods: This retrospective cohort study analyzes Alabama claims data from January 2010 to April 2018 52,549 covered adults ages 19 64 diabetes. Individuals were characterized by demographics, comorbidities, health including primary, specialty, mental health, pharmaceutical, laboratory hospital care. Characteristics those without any ACS hospitalization are reported. A set 118,758 observations was created, pairing information on in one year hospitalizations following year. Logistic regression analysis used assess impact occurrence an Results: One third had at least over their observed periods; users tended have multiple Hospital more comorbidities pharmaceutical other types than no Controlling use, having a visit significantly associated reduced likelihood (adjusted odds ratio comparing 1-2 visits versus none 0.79, 95% confidence interval 0.73-0.85). Conclusions: Program population interventions that increase access can beneficial effect reducing excess inpatient Disclosure J.M. Bronstein: None. L. Huang: A.A. Agne: F.L. Mondesir: C.A. Presley: K.R. Riggs: M. Pisu: E.B. Levitan: Consultant; Self; Novartis Pharmaceuticals Corporation. Research Support; Amgen Inc. A. Cherrington: Funding National Institute Diabetes Digestive Kidney Diseases