ArticleBMC health services research2007
Health care utilization and costs in Saskatchewan's registered Indian population with diabetes.
Article in BMC health services research, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Cost-of-illness of type 2 diabetes mellitus in low and lower-middle income countries: a systematic review.BMC health services research · 2018Pooled it
- The Economic Costs of Type 2 Diabetes: A Global Systematic Review.PharmacoEconomics · 2015Pooled it
- Acute health care among Indigenous patients in Canada: a scoping review.International journal of circumpolar health · 2021Article
- The Cost of Care for People With Chronic Kidney Disease.Canadian journal of kidney health and disease · 2019Article
- Article
- Developing community-driven quality improvement initiatives to enhance chronic disease care in Indigenous communities in Canada: the FORGE AHEAD program protocol.Health research policy and systems · 2016Article
- Impact of diabetes on healthcare costs in a population-based cohort: a cost analysis.Diabetic medicine : a journal of the British Diabetic Association · 2016Article
- The association between health information technology adoption and family physicians' practice patterns in Canada: evidence from 2007 and 2010 National Physician Surveys.Healthcare policy = Politiques de sante · 2013Article
- Health care costs in people with diabetes and their association with glycemic control and kidney function.Diabetes care · 2013Article
- Prevalence and comorbidity of diabetes mellitus among non-institutionalized older adults in Germany - results of the national telephone health interview survey 'German Health Update (GEDA)' 2009.BMC public health · 2013Article
- Young aboriginals are less likely to receive a renal transplant: a Canadian national study.BMC nephrology · 2013Article
- Epidemiology of diabetes mellitus among First Nations and non-First Nations adults.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010Article
- Increasing incidence and prevalence of diabetes among the Status Aboriginal population in urban and rural Alberta, 1995-2006.Canadian journal of public health = Revue canadienne de sante publiqueArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe prevalence of diabetes in North American is recognized to be higher in Aboriginal populations. The relative magnitude of health care utilization and expenditures between Aboriginal and non-Aboriginal populations is uncertain, however. Our objective was to compare health care utilization and per capita expenditures according to Registered Indian and diabetes status in the province of Saskatchewan.
methodsAdministrative databases from Saskatchewan Health were used to identify registered Indians and the general population diabetes cases and two controls for each diabetes case. Health care resource utilization (physician visits, hospitalizations, day surgeries and dialysis) and costs for these individuals in the 2001 calendar year were determined. The odds of having used each resource category, adjusted for age and location of residence, was assessed according to Registered Indian and diabetes status. The average number of encounters for each resource category and per capita healthcare expenditures were also determined.
resultsRegistered Indian diabetes cases were younger than general population cases (45.7 +/- 14.5 versus 58.4 +/- 16.4 years, p < 0.001) and fewer were male (42.3% versus 53.2%, p < 0.001). Registered Indians were more likely to visit a physician, be hospitalized or receive dialysis than the general population, regardless of diabetes status. Diabetes increased the probability of having used all resource categories for both Registered Indians and the general population. Per capita health care expenditures for the diabetes subgroups were more than twice that of their respective controls and were 40% to 60% higher for registered Indians than the general population, regardless of diabetes status.
conclusionRelative to individuals without the disease, both registered Indians and the general population with diabetes had substantially higher health care utilization and costs. Excess hospitalization and dialysis suggested that registered Indians with and without diabetes experienced greater morbidity than the general population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.