The objective of this study was to describe factors associated with choices to avoid health care among Medicare beneficiaries with type 2 diabetes. Health care avoidance by Medicare beneficiaries with chronic conditions such as type 2 diabetes can result in adverse health and economic outcomes. Screening for avoiding health care, better patient–provider communication, and educational outreach efforts are needed to encourage older adults with diabetes to seek health care. What are the implications for public health practice? For this population, after we accounted for covariates, factors such as education, race/ethnicity, costs, health care perceptions, and patient–provider communication were associated with avoiding health care. More than 25% of Medicare beneficiaries with type 2 diabetes reported avoiding health care. Factors associated with choosing to avoid health care have been investigated in the adult population however, little is known about factors associated with this behavior among older adults with diabetes.
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