Accessibilité aux soins de santé, utilisation des ressources et leur impact sur la santé des enfants et adolescents atteints de diabète au Québec

Chercheurs-boursiers cliniciens- Junior 1 | Concours 2012-2013

Meranda Nakhla

Institut de recherche du Centre universitaire de santé McGill (CUSM)


Domaine : Santé des populations

Diabetes Mellitus is one of the most common childhood chronic diseases. Rates of diabetes mellitus are increasing in children, representing a significant and growing burden on Quebec¿s healthcare system. The management of diabetes in children requires intense resources as well as regular access to health services. It is well known that good continuity of care is needed to reduce the risk of diabetes-related complications. To date, evaluation of pediatric diabetes in Quebec has not been done. My research program over the next 4 years consists of 3 projects. First, I will determine a case-definition to identify children with diabetes within administrative databases. Second, using the definition found in project 1, I will examine patterns of pediatric diabetes care use throughout the province, to identify how these patterns differ by socioeconomic status and geographic status and to determine factors influencing use of diabetes care (age, gender, duration of diabetes). I will also study the relationship between type of healthcare provider (pediatrician, family physician, pediatric endocrinologist) and outcomes. For the third project, I will determine the proportion of young adults who do not successfully transfer to adult care and the factors that are associated with poor transfer. The results will provide valuable information on disparities in access to and in use of diabetes care, and how differing patterns of diabetes care use are associated with outcomes. The results of this research program will be shared with healthcare providers and healthcare decision makers to assist them with future service planning.