Usual Source of Diabetes Care, Frequency of Use, and OOPEs by Study Cohort and Health Care Coverage Type
T2D, T1D, Diabetes, SE, diabetes
TYPE 1 DIABETES, DIABETES, TYPE 2 DIABETES, TYPE 2 DIABETES, DIABETES
Abbreviations: OOPEs, out-of-pocket expenses; SEARCH, SEARCH for Diabetes in Youth; T1D, type 1 diabetes; T2D, type 2 diabetes; TODAY, Treatment Options for Type 2 Diabetes in Adolescents and Youth.Care included care for diabetes, other medical problems, and dental health. The OOPEs included those for services that were not covered by health insurance plan, but not the purchase price of the health insurance plan. The mean OOPEs were calculated as the weighted mean based on the midpoint for each interval and the number of participants whose income falls within each interval. The midpoint of the last interval (≥$200) was estimated at $309 based on 2020 MarketScan data.Participants with T1D were more likely than those with T2D in both SEARCH and TODAY studies to have 1 or more visits for diabetes care in the prior 6 months (88.1%, 80.5%, and 73.6%, respectively) (Participants with T1D reported higher OOPEs for medical care compared with those with T2D. Median (IQR) OOPEs per month were $74.50 ($10.00-$309.00) for T1D and $10.00 ($0-$74.50) for the T2D group in both SEARCH and TODAY studies (Reported OOPEs were inversely associated with health care coverage in participants with T1D. Those without health care coverage were more likely to report having OOPEs compared with those with health care coverage (81.3% vs 70.2%) (In minimally adjusted models, not having health care coverage and not having an established source of diabetes care were associated with significantly higher mean (SE) HbA