Diabetes

Completed Projects

Listed by project completion date. You can also view these projects alphabetically.

Diabetes Management in Urban and Rural Areas of the U.S.
This project used the IBM MarketScan database to examine differences in type 2 diabetes prevalence and monitoring for a commercially insured sample. It also employed definitions from the Health Effectiveness Data and Information Set guidelines for comprehensive diabetes care to determine if rural residents are more or less likely to meet recommended standards for type 2 diabetes monitoring and control.
Research center: Rural and Underserved Health Research Center
Topics: Care management, Chronic diseases and conditions, Diabetes, Health promotion and disease prevention, Health services, Healthcare access, Private health insurance, Quality

Cardiovascular & Cancer Rates for the Rural Delta Region
This interactive tool can be used to compare county-level rates and incidence of cancer and cardiovascular related health measures for people residing in the lower Mississippi River Delta Region. Users may filter by various health measures and download images and data.
Research center: North Carolina Rural Health Research and Policy Analysis Center
Topics: Cancer, Chronic diseases and conditions, Diabetes, Obesity

Medicare Beneficiaries' Access to Preventive Services: Diabetes Self-Management Training, Medical Nutrition Therapy, and Health and Behavior Assessment and Intervention
Medicare offers preventive services focused on self-management through several programs: Diabetes Self-Management Training, Medical Nutrition Therapy, and Health and Behavior Assessment and Intervention.
Research center: Rural and Underserved Health Research Center
Topics: Diabetes, Health promotion and disease prevention, Medicare, Obesity

Quality Measures and Sociodemographic Risk Factors: The Rural Environmental Context
For three acute care conditions/diagnoses (potential examples include diabetes, congestive heart failure, COPD), this study will (1) identify the key socio-demographic variables that may affect quality adjustment for rural populations/providers; (2) identify data sources/strategies available for the above variables; and (3) identify the quality measures (e.g. readmission rates) that should be adjusted for socio-demographic variables for rural populations/providers and estimate the potential impact of those adjustments on quality measurement.
Research center: University of Minnesota Rural Health Research Center
Topics: Diabetes, Quality, Rural statistics and demographics

Post-Hospital Transitions in Care Among Dually-Eligible Medicare Beneficiaries
This project will examine the hospitalization rates, post-discharge physician follow-up, and subsequent readmission rates among Medicare beneficiaries who are also enrolled in Medicaid. We will examine these dual-eligible beneficiaries by level of rurality to determine if residence is a significant factor in these rates. We will also control for co-morbidities, county characteristics, and other factors related to readmission rates.
Research center: University of South Carolina Rural Health Research Center
Topics: Diabetes, Hospitals and clinics, Medicare

Intensity of Service Provision for Medicare Beneficiaries Utilizing Home Health Services
This study will assess whether Medicare beneficiaries in rural areas receive a lower intensity of home health (HH) services compared to their urban counterparts. Specifically, the study will examine (1) the distribution of levels of HH services for four conditions: joint (hip and knee) replacement, stroke, end-stage renal disease (ESRD), and diabetes; (2) the distribution of type of provider for each condition across the levels of rurality; and (3) the median charge and payment per beneficiary for these services across the levels of rurality.
Research center: University of South Carolina Rural Health Research Center
Topics: Chronic diseases and conditions, Diabetes, Home health, Medicare

Dialysis Availability in Rural America
Working from Medicare Dialysis Compare files and the Standard Analysis File of the US Renal Data System, we will evaluate the current availability of dialysis services across rural America. We will examine general availability of services, service to population ratios, and patient outcome measures across levels of rurality.
Research center: University of South Carolina Rural Health Research Center
Topics: Chronic diseases and conditions, Diabetes, Medicare

Consequences of Rural Uninsurance
This study will assess whether uninsured rural residents have different levels of access to care than their urban counterparts, and the factors associated with any differences (including sub-analyses for individuals with identified chronic conditions). In doing so, it will provide policymakers with critical information for improving rural health systems.
Research center: Maine Rural Health Research Center
Topics: Diabetes, Uninsured and underinsured

Diabetes and Obesity: Is there a Rural-Urban Difference in the Burden?
Persons with diabetes are more likely to be obese, increasing the economic burden of diabetes related care. Purpose of this study is to examine if being overweight and obese places additional economic burden and if there is a rural-urban difference in this regard. It will help understand the health and economic consequences of diabetes and obesity epidemic on people's health.
Research center: FORHP-funded Individual Grantees
Topics: Chronic diseases and conditions, Diabetes, Obesity

U.S. Hospitalizations for Ambulatory Care Sensitive Conditions: A Rural/Urban Comparison
This project will assess trends, patterns, and predictors of hospitalizations for three ambulatory care sensitive conditions (ACSCs) (i.e., uncontrolled diabetes, bacterial pneumonia, and pediatric asthma) among rural and urban residents in the United States. The study will involve the examination of 2003 HCUP Nationwide Inpatient Sample data.
Research center: FORHP-funded Individual Grantees
Topics: Chronic diseases and conditions, Diabetes, Rural statistics and demographics

Pharmaceutical Data Validity in Estimating Rural Population Health
This project will allow for the quantification of variation in morbidity (via prescription use) across rural areas; identify locations that might be at risk for stunted economic development due to high levels of chronic illness in the working population; and potentially lead to the development of a valid and reliable measure of county-level rates of chronic illness using prescription data as a proxy.
Research center: FORHP-funded Individual Grantees
Topics: Cancer, Chronic diseases and conditions, Diabetes, Pharmacy and prescription drugs, Public health, Rural statistics and demographics

Rural Quality Improvement Focus on Diabetes
This project focused specifically on diabetes care management and quality improvement programming in rural areas as a way to understand the adaptability and policy implications of using chronic care coordination and other models in a rural environment.
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Care management, Chronic diseases and conditions, Diabetes, Quality

Potential Cost Savings of Home Health Care for Rural Chronically Ill Elderly
Research center: University of Minnesota Rural Health Research Center
Topics: Aging, Chronic diseases and conditions, Diabetes, Home health

Chronic Illness and the Rural Informal Safety Net: The Case of Diabetes
Research center: Maine Rural Health Research Center
Topics: Chronic diseases and conditions, Diabetes, Uninsured and underinsured