Date of Award

Spring 4-30-2024

Embargo Period

4-30-2024

Document Type

Dissertation

Degree Name

Doctor of Health Administration

Department

Health Administration

College

College of Health Professions

First Advisor

Dunc Williams

Second Advisor

Kit Simpson

Third Advisor

Elinor Borgert

Abstract

BACKGROUND: Type 2 diabetes (T2D) is a major population health issue that affects 9.4% of the United States (US) while disproportionately affecting minority populations. T2D is highly prevalent and correlated with increased morbidity as well as early mortality rates, making it the seventh leading cause of death in the US in 2019. There is a high prevalence of T2D in the US and approximately 7 million people are undiagnosed.

OBJECTIVE: To assess if race plays a role in ED utilization and identify geographic areas where improvement in primary care and support by telehealth would be of greatest value.

RESEARCH DESIGN: This is an exploratory research design that used an all-payer claims database (APCD) to explore all SC ED visits in 2019 for AAs and whites.

RESULTS: The overall findings demonstrate that in SC, AAs per 1000 with a presence of T2D utilized the ED more than Whites regardless of the county designation of rural or high SVI.

CONCLUSION: ED utilization across the total adult SC population was higher for AAs than Whites.

Rights

Copyright is held by the author. All rights reserved.

Download

Share

COinS