Racial Differences in Patient Experience and Diabetes Management Outcomes among Reproductive-Age Women:
Implications for Maternal Morbidity and Mortality

Non-pregnant non-Hispanic black women of reproductive age (18-45 years) are more likely to have diagnosed and undiagnosed diabetes which increases their risk of maternal morbidity and mortality during the perinatal period. Adherence to disease management during the preconception period is crucial especially among non-Hispanic black women who are disproportionately impacted by maternal morbidity and mortality. Studies have shown positive patient experiences are associated with adherence to recommended medication and treatment preventive care use and self-rated health outcomes. There is a dearth of studies however examining the effects of patient experiences (and racial differences in patient experiences) on chronic disease management outcomes specifically among non-pregnant reproductive-age women with diabetes. Therefore the goal of this study is to use the Medical Expenditure Panel Survey datasets (2012-2017 longitudinal files) and robust statistical modeling techniques to investigate racial differences in patient experience among non-pregnant reproductive-age women with diabetes and its relation to ratings of health care received diabetes care self-efficacy and diabetes care monitoring. The proposed research addresses the MCHB Strategic Research Issue II: MCH services and systems of care efforts to eliminate health disparities and barriers to health care access for MCH populations. This research will inform the development of equitable patient-centered practices that promote optimal disease management which may help reduce racial and ethnic disparities in maternal health outcomes. It will also strengthen and expand MCH Services Block Grant National Performance and Population Priority Domain I: 'Well-Woman Visits and Preconception/Interconception Health'. By elucidating the mechanisms by which promoting patient-centered diabetes care interventions during the preconception/interconception period might improve disease management our study can inform practices and policies that contribute to the attainment of following Healthy People 2020

Objectives:

Increase the proportion of women delivering a live birth who received preconception care services and practiced key recommended preconception health behaviors (MICH-16) Increase the proportion of persons who report their health providers have satisfactory communication skills (HC/HIT-2) Reduce the rate of maternal illness and complications due to pregnancy (MICH-6); and Reduce the rate of maternal mortality (MICH-5)

Brown KK, Kindratt TB, Brannon GE, Sankuratri BYV, Boateng GO. Patient Experience with Their Health Care Provider Among Non-Pregnant Women of Childbearing Age with Diabetes Mellitus by Race and Ethnicity in the United States. Womens Health Rep (New Rochelle). 2023;4(1):20-30. Published 2023 Jan 24. doi:10.1089/whr.2022.0037 DOI:doi:10.1089/whr.2022.0037 January 2023 36727093