Introduction of publicly funded pharmacare and socioeconomic disparities in glycemic management in children and youth with type 1 diabetes in Ontario, Canada: a population-based trend analysis.

ABSTRACT:

Background

We evaluated the impact of publicly funded pharmacare (Ontario Health Insurance Plan [OHIP]+), which was introduced in Ontario on Jan. 1, 2018, for youth less than 25 years of age, on temporal trends in hemoglobin A_1c (HbA_1c, a measure of glycemic management) and the differential effect on the change in temporal trends in HbA_1c according to socioeconomic status (SES).

Methods

We conducted a trend analysis using administrative data sets. We included youth aged 21 years, 9 months or younger, residing in Ontario on Jan. 1, 2016, with diabetes diagnosed before age 15 years and before Jan. 1, 2015. We used claims for insulin to measure pharmacare use. We evaluated the change in HbA_1c (%) per 90 days before (Jan. 1, 2016, to D

SUBMITTER: Giruparajah M 

PROVIDER: S-EPMC9343121 | biostudies-literature | 2022 Apr-Jun

REPOSITORIES: biostudies-literature