Is Shelter-in-Place Policy Related to Mail Order Pharmacy Use and Racial/Ethnic Disparities for Patients With Diabetes?
Autor: | Tainayah W Thomas, Romain Neugebauer, Julie A. Schmittdiel, Andrew J. Karter, Wendy Dyer, Maher Yassin |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism MEDLINE Ethnic group 030209 endocrinology & metabolism Pharmacy 03 medical and health sciences 0302 clinical medicine Emergency Shelter Diabetes mellitus Pandemic Internal Medicine medicine Diabetes Mellitus Ethnicity Humans 030212 general & internal medicine Postal Service Risk factor Healthcare Disparities Advanced and Specialized Nursing business.industry e-Letters: Observations Racial Groups Retrospective cohort study Health Status Disparities medicine.disease United States Policy Family medicine Cohort business |
Zdroj: | Diabetes Care |
ISSN: | 1935-5548 0149-5992 |
Popis: | Effective management of diabetes during the coronavirus disease 2019 (COVID-19) pandemic is critical given that hyperglycemia is both a risk factor for infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and has been associated with poorer outcomes for those infected (1). Unfortunately, inadequate diabetes self-management due to medication nonadherence is prevalent among patients with diabetes and is a major contributor to poor diabetes outcomes (2,3). Research suggests that mail order pharmacy (MOP) use can improve medication adherence (3). However, there is little data on how the COVID-19 pandemic is related to MOP use. Regrettably, racial/ethnic minority patients with diabetes have poorer medication adherence than White patients, and research shows marked disparities among racial/ethnic minorities in SARS-CoV-2 infection rates and outcomes, but little is known about racial/ethnic differences in MOP use during the COVID-19 pandemic (3,4). The objectives of our study were to 1 ) assess the association between the COVID-19 pandemic shelter-in-place order and MOP use and 2 ) examine these associations by patient race/ethnicity. We conducted a retrospective cohort study using a cohort from a randomized encouragement trial conducted in 2017–2018 at Kaiser Permanente Northern California (KPNC), the Encouraging Mail Order Pharmacy Use to Improve Outcomes and Reduce Disparities … |
Databáze: | OpenAIRE |
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