IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v138y2023ics0168851023002026.html
   My bibliography  Save this article

Educational attainment affects the diagnostic time in type 2 diabetes mellitus and the mortality risk of those enrolled in the diabetes pay-for-performance program

Author

Listed:
  • Liao, Yi-Shu
  • Tsai, Wen-Chen
  • Chiu, Li-Ting
  • Kung, Pei-Tseng

Abstract

Most patients are diagnosed as having diabetes only after experiencing diabetes complications. Educational attainment might have a positive relationship with diabetes prognosis. The diabetes pay-for-performance (P4P) program—providing comprehensive, continuous medical care—has improved diabetes prognosis in Taiwan. This retrospective cohort study investigated how educational attainment affects the presence of diabetes complications at diabetes diagnosis and mortality risk in patients with diabetes enrolled in the P4P program. From the National Health Insurance Research Database, we identified patients aged >45 years who had received a new diagnosis of type 2 diabetes during 2002–2015; they were followed up until the end of 2017. We next used logistic regression analysis to explore whether the patients with different educational attainments had varied diabetic complication risks at diabetes diagnosis. The Cox proportional hazard model was employed to examine the association of different educational attainments in people with diabetes with mortality risk after their enrollment in the P4P program. The results indicated that as educational attainment increased, the risk of diabetes complications at type 2 diabetes diagnosis decreased gradually. When type 2 diabetes with different educational attainments joined the P4P program, high school education had the highest effect on reducing mortality risk; however, those with ≤ 6th grade education had the lowest impact.

Suggested Citation

  • Liao, Yi-Shu & Tsai, Wen-Chen & Chiu, Li-Ting & Kung, Pei-Tseng, 2023. "Educational attainment affects the diagnostic time in type 2 diabetes mellitus and the mortality risk of those enrolled in the diabetes pay-for-performance program," Health Policy, Elsevier, vol. 138(C).
    • Handle: RePEc:eee:hepoli:v:138:y:2023:i:c:s0168851023002026
    DOI: 10.1016/j.healthpol.2023.104917
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851023002026
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2023.104917?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Rodríguez-Sánchez, Beatriz & Cantarero-Prieto, David, 2019. "Socioeconomic differences in the associations between diabetes and hospital admission and mortality among older adults in Europe," Economics & Human Biology, Elsevier, vol. 33(C), pages 89-100.
    2. Hui-Ting Huang & Yu-Ming Kuo & Shiang-Ru Wang & Chia-Fen Wang & Chung-Hung Tsai, 2016. "Structural Factors Affecting Health Examination Behavioral Intention," IJERPH, MDPI, vol. 13(4), pages 1-15, April.
    3. Kim, Hongsoo & Cheng, Shou-Hsia, 2018. "Assessing quality of primary diabetes care in South Korea and Taiwan using avoidable hospitalizations," Health Policy, Elsevier, vol. 122(11), pages 1222-1231.
    4. Hsiu-Ling Huang & Chuan-Yu Kung & Shun-Mu Wang & Pei-Tseng Kung & Yen-Hsiung Lin & Li-Ting Chiu & Wen-Chen Tsai, 2021. "Effects of Body Mass Index and Pay-for-Performance Program on Risk of Death in Patients with Type 2 Diabetes: A Nationwide Cohort Study," IJERPH, MDPI, vol. 18(9), pages 1-16, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yuen, Kum Fai & Chua, Jie Ying & Li, Xue & Wang, Xueqin, 2023. "The determinants of users’ intention to adopt telehealth: Health belief, perceived value and self-determination perspectives," Journal of Retailing and Consumer Services, Elsevier, vol. 73(C).
    2. Elek, Péter & Bíró, Anikó, 2021. "Regional differences in diabetes across Europe – regression and causal forest analyses," Economics & Human Biology, Elsevier, vol. 40(C).
    3. Cheng-Kui Huang & Shin-Horng Chen & Chia-Chen Hu & Ming-Ching Lee, 2022. "Understanding the adoption of the mask-supply information platforms during the COVID-19," Electronic Markets, Springer;IIM University of St. Gallen, vol. 32(4), pages 2405-2427, December.
    4. Seuring, Till & Serneels, Pieter & Suhrcke, Marc & Bachmann, Max, 2020. "Diabetes, employment and behavioural risk factors in China: Marginal structural models versus fixed effects models," Economics & Human Biology, Elsevier, vol. 39(C).
    5. Oh, Byeung-Kuk, 2024. "Retirement and healthcare utilization: Evidence from pension eligibility ages in South Korea," The Journal of the Economics of Ageing, Elsevier, vol. 27(C).
    6. Nguyen Xuan Truong & Bui Hoang Ngoc & Nguyen Thai Ha, 2022. "The Impacts of Media Exposure on COVID-19 Preventive Behaviors Among Vietnamese People: Evidence Using Expanded Protection Motivation Theory," SAGE Open, , vol. 12(2), pages 21582440221, May.
    7. Xingyuan Wang & Yun Liu & Hongchen Liu, 2020. "Examining Users’ Adoption of Precision Medicine: The Moderating Role of Medical Technical Knowledge," IJERPH, MDPI, vol. 17(3), pages 1-16, February.
    8. Liu, Yanfeng & Cai, Lanhui & Ma, Fei & Wang, Xueqin, 2023. "Revenge buying after the lockdown: Based on the SOR framework and TPB model," Journal of Retailing and Consumer Services, Elsevier, vol. 72(C).
    9. Sangwon Lee & Kwang Sun Ryu & Ha Ye Jin Kang & Na Young You & Kui Son Choi & Yul Hwangbo & Jae Wook Lee & Hyo Soung Cha, 2021. "Risk Factors of Undiagnosed Diabetes Mellitus among Korean Adults: A National Cross-Sectional Study Using the KNHANES Data," IJERPH, MDPI, vol. 18(3), pages 1-17, January.
    10. Chang Kyun Choi & Jungho Yang & Ji-An Jeong & Min-Ho Shin, 2022. "Effects of Diabetes Quality Assessment on Diabetes Management Behaviors Based on a Nationwide Survey," IJERPH, MDPI, vol. 19(23), pages 1-11, November.
    11. Ugolini, Cristina & Lippi Bruni, Matteo & Leucci, Anna Caterina & Fiorentini, Gianluca & Berti, Elena & Nobilio, Lucia & Moro, Maria Luisa, 2019. "Disease management in diabetes care: When involving GPs improves patient compliance and health outcomes," Health Policy, Elsevier, vol. 123(10), pages 955-962.
    12. Yang Zhou & Ligang Liu & Sanghyun Han & Xiao Sun, 2023. "Comparative analysis of the behavioral intention of potential wellness tourists in China and South Korea," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-13, December.
    13. Grace Chua & Kum Fai Yuen & Xueqin Wang & Yiik Diew Wong, 2021. "The Determinants of Panic Buying during COVID-19," IJERPH, MDPI, vol. 18(6), pages 1-28, March.
    14. Yuen, Kum Fai & Cai, Lanhui & Wee, Shaun Chuin Kit & Wang, Xueqin, 2024. "Pandemic-driven acceptance of urban drone deliveries," Transport Policy, Elsevier, vol. 146(C), pages 356-370.
    15. Mi-Kyoung Cho & Yoon-Hee Cho, 2022. "Role of Perception, Health Beliefs, and Health Knowledge in Intentions to Receive Health Checkups among Young Adults in Korea," IJERPH, MDPI, vol. 19(21), pages 1-13, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:138:y:2023:i:c:s0168851023002026. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.