The Association Between Cost-Related Insulin Rationing and Health Care Utilization in U.S. Adults With Diabetes
Authors' conclusion
Insulin rationing was not associated with higher health care utilization, but concurrent rationing of health care may mask a relationship.
Study context
- Population
- U.S. adults with diabetes using insulin, 2021 National Health Interview Survey; median age 61 years, 47% womenrepresenting 7,593,944 U.S
- Participants
- 982 adults
- Exposure
- Cost-related insulin rationing vs no rationing
- Outcome
- 1) emergency department (ED) visit or hospitalization and 2) number of urgent care visits
Methodological detailssurvey-weighted, age-stratified
- Survey-weighted
- Age-stratified
Main finding
As reported in the abstract
Health care utilization by age stratum
Rationing vs No rationingEstimate (95% CI)
Urgent care visits, adults ≥65 years
RR 2.1(1.2–3.6)
ED visit or hospitalization, adults ≥65 years
OR 0.7(0.3–1.4)
Observational data: associations, not effects.
Further findings
Prevalence of rationing
- Reported rationing
- 17%
Original publication
The Association Between Cost-Related Insulin Rationing and Health Care Utilization in U.S. Adults With Diabetes. Diabetes Care. Published 2 January 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →