Associations of physician characteristics with sex difference in ischemic heart disease incidence among patients living with type 2 diabetes in Taiwan

Yung Hsin Lee, Ya Hui Chang, Li Jung Elizabeth Ku, Jin Shang Wu, Muhammad Atoillah Isfandiari, Li Ping Chou, Chung Yi Li

研究成果: Article同行評審

摘要

(1) Background: Certain non-biological factors are suspected to explain the reduced sex difference in cardiovascular risk after diabetes. This study aimed to assess whether physician characteristics may account for such reduced sex difference. (2) Methods: Totally 10,105 type 2 diabetes patients (including 4962 men and 5143 women) were selected from Taiwan’s National Health Insurance claim data. The three-year period following the first day of clinical visit for type 2 diabetes in 2000 was set as the baseline period. The follow-up was made from the first day after baseline period to date of ischemic heart disease (IHD) incidence or censoring. Cox regression model was used to estimate hazard ratios (HRs) of IHD in relation to physician’s characteristics. (3) Results: The incidence of IHD for men and women was estimated at 17.47 and 15.96 per 1000 person-years, respectively. After controlling for socio-demographic variables and co-morbidity, male patients experienced a significantly higher HR than females for IHD (1.16, 95% Confidence Interval (CI) 1.04 to 1.29). Further adjustment for treatment adherence/continuity and physician characteristics resulted in essentially the same results. (4) Conclusions: Our study provides little support for the notation that physician characteristics may contribute to the reduced sex difference in IHD incidence in patients with type 2 diabetes.

原文English
文章編號440
期刊Healthcare (Switzerland)
9
發行號4
DOIs
出版狀態Published - 2021

All Science Journal Classification (ASJC) codes

  • 健康資訊學
  • 健康政策
  • 健康資訊管理
  • 領導和管理

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