Variation in health system performance for managing diabetes among states in India:a cross-sectional study of individuals aged 15 to 49 years
Autor: | Viswanathan Mohan, Till Bärnighausen, Rifat Atun, Jonas Prenissl, Anne Christine Bischops, Ashish Awasthi, Lindsay M. Jaacks, Sebastian Vollmer, Jennifer Manne-Goehler, Pascal Geldsetzer, Justine Davies |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Rural Population
Male Quality Assurance Health Care Cross-sectional study Psychological intervention lcsh:Medicine Health Services Accessibility 610 Medical sciences Medicine 0302 clinical medicine Prevalence 030212 general & internal medicine Quality Assurance Health Care/statistics & numerical data Observer Variation education.field_of_study Diabetes 1. No poverty General Medicine Care cascade Middle Aged 3. Good health Health system performance language Marital status Diabetes Mellitus/epidemiology Female Research Article Adult Health Systems Plans/standards Adolescent Population India Population health 03 medical and health sciences Young Adult Health Services Accessibility/organization & administration Diabetes mellitus medicine Diabetes Mellitus Humans Rural Population/statistics & numerical data education business.industry lcsh:R Health Systems Plans medicine.disease language.human_language India/epidemiology Cross-Sectional Studies Tamil Rural area business 030217 neurology & neurosurgery Demography |
Zdroj: | Prenissl, J, Jaacks, L M, Mohan, V, Manne-Goehler, J, Davies, J I, Awasthi, A, Bischops, A C, Atun, R, Bärnighausen, T, Vollmer, S & Geldsetzer, P 2019, ' Variation in health system performance for managing diabetes among states in India : a cross-sectional study of individuals aged 15 to 49 years ', BMC Medicine, vol. 17, no. 1, pp. 92 . https://doi.org/10.1186/s12916-019-1325-6 BMC Medicine BMC Medicine, Vol 17, Iss 1, Pp 1-12 (2019) |
DOI: | 10.1186/s12916-019-1325-6 |
Popis: | Background Understanding where adults with diabetes in India are lost in the diabetes care cascade is essential for the design of targeted health interventions and to monitor progress in health system performance for managing diabetes over time. This study aimed to determine (i) the proportion of adults with diabetes in India who have reached each step of the care cascade and (ii) the variation of these cascade indicators among states and socio-demographic groups. Methods We used data from a population-based household survey carried out in 2015 and 2016 among women and men aged 15–49 years in all states of India. Diabetes was defined as a random blood glucose (RBG) ≥ 200 mg/dL or reporting to have diabetes. The care cascade—constructed among those with diabetes—consisted of the proportion who (i) reported having diabetes (“aware”), (ii) had sought treatment (“treated”), and (iii) had sought treatment and had a RBG |
Databáze: | OpenAIRE |
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