DNP 840 Post your PICOT and expand in detail on your selected patient population

DNP 840 Post your PICOT and expand in detail on your selected patient population

Diabetic patients are amongst the highest readmission diagnosis in our facility. They have a high number amount of underinsured that we are trying to help within the community. Furmanchuk et al. (2021), highlights that the adoption of the Affordable Care Act (ACA) in the USA expanded health insurance for low-income Americans and took two main forms: Medicaid expansion in some states and subsidized private health insurance through insurance exchanges available in all states, with deep subsidies for persons with incomes from 138% to 250% of the federal poverty limit (FPL) in Medicaid expansion states and from 100% to 250% of the FPL in non-expansion states. Prior studies found a statistically significant slightly negative effects of the ACA on diabetes diagnoses and controversial (from insignificantly slightly positive to significantly positive) effects on diabetes therapies at county and state levels. We examined the effect of both forms of ACA reform on the improvement of diabetes diagnostics and management in low-income patients who had access to healthcare before the ACA expansion. Different from individuals who had no access to healthcare before the ACA, our sample of patients from socially deprived tracts shows no increase in rates of newly diagnosed diabetes.

Furmanchuk, A., Liu, M., Song, X., Waitman, L. R., Meurer, J. R., Osinski, K., Stoddard, A., Chrischilles, E., McClay, J. C., Cowell, L. G., Tachinardi, U., Embi, P. J., Mosa, A. S. M., Mandhadi, V., Shah, R. C., Garcia, D., Angulo, F., Patino, A., Trick, W. E., Markossian, T. W., … Black, B. S. (2021). Effect of the Affordable Care Act on diabetes care at major health centers: newly detected diabetes and diabetes medication management. BMJ open diabetes research & care, 9(1), e002205. https://doi.org/10.1136/bmjdrc-2021-002205