Diabetes Care Provided to Children Displaced by Hurricane Katrina.
OBJECTIVE
Although previous studies have examined the impact of Hurricane Katrina on adults with diabetes, less is known about the effects on children with diabetes and on those displaced by the storm. We analyzed individual-level enrollment and utilization data of children with diabetes who were displaced from Louisiana and were enrolled in the Texas Medicaid Hurricane Katrina emergency waiver (TexKat).


METHODS
We compared the utilization and outcomes of children displaced from Louisiana with those of children who lived in areas less affected by Hurricane Katrina. Data from both before and after the storm were used to calculate difference-in-difference estimates of the effects of displacement on the children. We analyzed 4 diabetes management procedures (glycated hemoglobin [HbA1C] tests, eye exams, microalbumin tests, and thyroid tests) and a complication from poor diabetes management (diabetic ketoacidosis).


RESULTS
Children enrolled in the waiver generally did not experience a decrease in care relative to the control group while the waiver program was in effect. After the waiver ended, however, we observed a drop in care and an increase in complications relative to the control group.


CONCLUSIONS
Although the waiver appeared to have been largely successful immediately following Katrina, future waivers may be improved by ensuring that enrollees continue to receive care after the waivers expire.
1College of Public Health,University of South Florida,Tampa,Florida.
Troy
T
Quast
2School of Business Administration,University of Miami,Coral Gables,Florida.
Karoline
K
Mortensen
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D055867:Cyclonic Storms; D003920:Diabetes Mellitus / Q000628:therapy*; D054597:Disaster Medicine / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D013781:Texas
Hurricane Katrina; children; diabetes; disaster