Table 3 -.
Comparison of Medicaid Recipients’ Primary Care Utilization by Diabetes-related Ambulatory Care Sensitive (ACS) Hospitalization (Alabama, 2010–2018)
| Primary Care Characteristic | % Total Population N=52,549 | % No ACS Hospitalization N=34,645 | % With ACS Hospitalization N=17,904 | P-value** |
|---|---|---|---|---|
| Primary care use over observed period, annualized* | <0.001 | |||
| None | 7.3 | 9.7 | 2.7 | |
| 1–2 | 72.5 | 76.3 | 65.0 | |
| 3–4 | 15.0 | 10.8 | 23.3 | |
| + 4 | 5.2 | 3.2 | 9.0 | |
| Diabetes drug prescription filled | <0.001 | |||
| Any type of diabetes drug | 80.9 | 75.2 | 92.1 | |
| Any Metformin prescription | 61.8 | 59.3 | 66.7 | |
| Any insulin prescription | 40.5 | 26.0 | 68.4 | |
| Any other diabetes drug | 43.5 | 35.8 | 58.3/ | |
| Hba1c test use over observed period, annualized | <0.001 | |||
| None | 21.9 | 28.3 | 9.6 | |
| 1–2 months per year | 77.6 | 71.5 | 89.4 | |
| 3–4 months per year | 0.4 | 0.2 | 1.0 | |
| + 4 months per year | 0 | 0 | 0 | |
| Any mental health care visit | 25.3 | 22.6 | 30.6 | <0.001 |
| Any specialty visit | 34.7 | 25.0 | 53.4 | <0.001 |
*
Measured by number of months in the previous 12 months with a claim for primary care
**
P-values calculated using chi-square tests for categorical variables