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dc.contributor.authorGarvey, Katharine Cen_US
dc.contributor.authorFinkelstein, Jonathan Aen_US
dc.contributor.authorLaffel, Lori Men_US
dc.contributor.authorOchoa, Victoriaen_US
dc.contributor.authorWolfsdorf, Joseph Ien_US
dc.contributor.authorRhodes, Erinn Ten_US
dc.date.accessioned2014-03-01T02:25:07Z
dc.date.issued2013en_US
dc.identifier.citationGarvey, Katharine C, Jonathan A Finkelstein, Lori M Laffel, Victoria Ochoa, Joseph I Wolfsdorf, and Erinn T Rhodes. 2013. “Transition experiences and health care utilization among young adults with type 1 diabetes.” Patient preference and adherence 7 (1): 761-769. doi:10.2147/PPA.S45823. http://dx.doi.org/10.2147/PPA.S45823.en
dc.identifier.issn1177-889Xen
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:11855859
dc.description.abstractBackground: The purpose of this study was to describe the current status of adult diabetes care in young adults with type 1 diabetes and examine associations between health care transition experiences and care utilization. Methods: We developed a survey to assess transition characteristics and current care in young adults with type 1 diabetes. We mailed the survey to the last known address of young adults who had previously received diabetes care at a tertiary pediatric center. Results: Of 291 surveys sent, 83 (29%) were undeliverable and three (1%) were ineligible. Of 205 surveys delivered, 65 were returned (response rate 32%). Respondents (mean age 26.6 ± 3.0 years, 54% male, 91% Caucasian) transitioned to adult diabetes care at a mean age of 19.2 ± 2.8 years. Although 71% felt mostly/completely prepared for transition, only half received recommendations for a specific adult provider. Twenty-six percent reported gaps exceeding six months between pediatric and adult diabetes care. Respondents who made fewer than three diabetes visits in the year prior to transition (odds ratio [OR] 4.5, 95% confidence interval [CI] 1.2–16.5) or cited moving/relocation as the most important reason for transition (OR 6.3, 95% CI 1.3–31.5) were more likely to report gaps in care exceeding six months. Patients receiving current care from an adult endocrinologist (79%) were more likely to report at least two diabetes visits in the past year (OR 6.0, 95% CI 1.5–24.0) compared with those receiving diabetes care from a general internist/adult primary care doctor (17%). Two-thirds (66%) reported receiving all recommended diabetes screening tests in the previous year, with no difference according to provider type. Conclusion: In this sample, transition preparation was variable and one quarter reported gaps in obtaining adult diabetes care. Nevertheless, the majority endorsed currently receiving regular diabetes care, although visit frequency differed by provider type. Because locating patients after transition was incomplete, our findings suggest the need for standardized methods to track transitioning patients.en
dc.language.isoen_USen
dc.publisherDove Medical Pressen
dc.relation.isversionofdoi:10.2147/PPA.S45823en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3749062/pdf/en
dash.licenseLAAen_US
dc.subjecttype 1 diabetes mellitusen
dc.subjecthealth care deliveryen
dc.subjectyoung adultsen
dc.subjecttransition to adult careen
dc.titleTransition experiences and health care utilization among young adults with type 1 diabetesen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalPatient preference and adherenceen
dash.depositing.authorFinkelstein, Jonathan Aen_US
dc.date.available2014-03-01T02:25:07Z
dc.identifier.doi10.2147/PPA.S45823*
dash.contributor.affiliatedFinkelstein, Jonathan


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