Examining disparities in compliance in appointment keeping among older adult's with diabetes mellitus type 2 within a managed care setting
Examining disparities in compliance in appointment keeping among older adult's with diabetes mellitus type 2 within a managed care setting
Date
2014-12
Authors
Wakida, Richelle Michie
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[Honolulu] : [University of Hawaii at Manoa], [December 2014]
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Abstract
Health disparities are documented among Hawaiʻi's multi-ethnic adult population diagnosed with diabetes mellitus type 2. The findings of the current study suggested the HMO model in the State of Hawaiʻi may be potentially effective in addressing racial/ethnic disparities in compliance. In terms of age and compliance in appointment keeping, findings suggested that disparities continued to exist even among patients who have medical insurance coverage as well as access to health care. Taken together, these findings have important implications for social policy and practice. The findings of the study have demonstrated that racial/ethnic disparities can be alleviated in certain health care settings with the appropriate practices in place. For example, Kaiser Permanente's integrated approach with a client centered focus may have important implications in care delivery in terms of provider-patient relationship, communication, and treatment of racial/ ethnic older adults diagnosed with diabetes mellitus type 2. This study contributed to the knowledge in disparities in health and health care as well as factors affecting compliance in appointment keeping. Moreover, it formed the foundation to which other studies may be predicated on in the future.
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Ph.D. University of Hawaii at Manoa 2014.
Includes bibliographical references.
Includes bibliographical references.
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diabetes
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Theses for the degree of Doctor of Philosophy (University of Hawaii at Manoa). Social Welfare.
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