{"id":"https://openalex.org/W7224538776","doi":"https://doi.org/10.1097/pq9.0000000000000946","title":"Increasing Insulin Pump Use in Youth with Type 1 Diabetes While Addressing Disparities","display_name":"Increasing Insulin Pump Use in Youth with Type 1 Diabetes While Addressing Disparities","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224538776","doi":"https://doi.org/10.1097/pq9.0000000000000946","pmid":"https://pubmed.ncbi.nlm.nih.gov/42953609","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13716418"},"language":"en","primary_location":{"id":"doi:10.1097/pq9.0000000000000946","doi":"https://doi.org/10.1097/pq9.0000000000000946","is_oa":true,"landing_page_url":"https://doi.org/10.1097/pq9.0000000000000946","pdf_url":null,"source":{"id":"https://openalex.org/S4210210253","display_name":"Pediatric Quality and Safety","issn_l":"2472-0054","issn":["2472-0054"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric Quality &amp; Safety","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.1097/pq9.0000000000000946","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5018957386","display_name":"Kimberly K. Vidmar","orcid":"https://orcid.org/0000-0001-9641-4395","observed_orcids":["https://orcid.org/0000-0001-9641-4395"]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Kimberly K. Vidmar","raw_affiliation_strings":["Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis","institution_ids":["https://openalex.org/I135310074"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040004055","display_name":"Rachel J. Fenske","orcid":"https://orcid.org/0000-0002-5417-0780","observed_orcids":["https://orcid.org/0000-0002-5417-0780"]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]},{"id":"https://openalex.org/I2799905417","display_name":"UW Health University Hospital","ror":"https://ror.org/02mqqhj42","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I135310074","https://openalex.org/I2799905417","https://openalex.org/I4210132596"]},{"id":"https://openalex.org/I4210132596","display_name":"University of Wisconsin Health","ror":"https://ror.org/03e3qgk42","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210132596"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachel J. Fenske","raw_affiliation_strings":["Department of Clinical Nutrition, UW Health, Madison, Wis"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Nutrition, UW Health, Madison, Wis","institution_ids":["https://openalex.org/I135310074","https://openalex.org/I2799905417","https://openalex.org/I4210132596"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110403624","display_name":"Whitney N. Beaton","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]},{"id":"https://openalex.org/I4210132596","display_name":"University of Wisconsin Health","ror":"https://ror.org/03e3qgk42","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210132596"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Whitney Beaton","raw_affiliation_strings":["Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, UW Health Kids, Madison, Wis"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, UW Health Kids, Madison, Wis","institution_ids":["https://openalex.org/I135310074","https://openalex.org/I4210132596"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017012061","display_name":"M. Tracy Bekx","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"M. Tracy Bekx","raw_affiliation_strings":["Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis","institution_ids":["https://openalex.org/I135310074"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5081087046","display_name":"Elizabeth A. Mann","orcid":"https://orcid.org/0000-0001-6439-0747","observed_orcids":["https://orcid.org/0000-0001-6439-0747"]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elizabeth A. Mann","raw_affiliation_strings":["Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis","institution_ids":["https://openalex.org/I135310074"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5018957386"],"corresponding_institution_ids":["https://openalex.org/I135310074"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.85100775,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"11","issue":"6","first_page":"e946","last_page":"e946"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.9413999915122986,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.9413999915122986,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.04839999973773956,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11171","display_name":"Diabetes and associated disorders","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/type-1-diabetes","display_name":"type 1 diabetes","score":0.9490000009536743},{"id":"https://openalex.org/keywords/continuous-subcutaneous-insulin-infusion","display_name":"insulin pump therapy","score":0.8059999942779541},{"id":"https://openalex.org/keywords/artificial-pancreas","display_name":"artificial pancreas","score":0.8009999990463257},{"id":"https://openalex.org/keywords/youth","display_name":"youth","score":0.6119999885559082},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.8700000047683716},{"id":"https://openalex.org/keywords/racial-and-ethnic-disparities","display_name":"racial and ethnic disparities","score":0.9120000004768372},{"id":"https://openalex.org/keywords/types-of-insurance","display_name":"insurance type","score":0.878000020980835},{"id":"https://openalex.org/keywords/pediatric-diabetes-care","display_name":"pediatric diabetes care","score":0.6949999928474426},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.5899999737739563}],"concepts":[{"id":"https://openalex.org/C2779794567","wikidata":"https://www.wikidata.org/wiki/Q941674","display_name":"Insulin pump","level":4,"score":0.8794999718666077},{"id":"https://openalex.org/C2781232474","wikidata":"https://www.wikidata.org/wiki/Q124407","display_name":"Type 1 diabetes","level":3,"score":0.8672000169754028},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7563999891281128},{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.5893999934196472},{"id":"https://openalex.org/C2781283889","wikidata":"https://www.wikidata.org/wiki/Q1130148","display_name":"Diabetic ketoacidosis","level":3,"score":0.5699999928474426},{"id":"https://openalex.org/C2779306644","wikidata":"https://www.wikidata.org/wiki/Q2002370","display_name":"Insulin","level":2,"score":0.5217000246047974},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.4074999988079071},{"id":"https://openalex.org/C2994527087","wikidata":"https://www.wikidata.org/wiki/Q2002370","display_name":"Insulin delivery","level":4,"score":0.4041000008583069},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.37139999866485596},{"id":"https://openalex.org/C2775849729","wikidata":"https://www.wikidata.org/wiki/Q1130148","display_name":"Ketoacidosis","level":4,"score":0.35420000553131104},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.288100004196167},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2745000123977661},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.2639000117778778},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.2639000117778778},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.257999986410141},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.25780001282691956},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.25119999051094055}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1097/pq9.0000000000000946","doi":"https://doi.org/10.1097/pq9.0000000000000946","is_oa":true,"landing_page_url":"https://doi.org/10.1097/pq9.0000000000000946","pdf_url":null,"source":{"id":"https://openalex.org/S4210210253","display_name":"Pediatric Quality and Safety","issn_l":"2472-0054","issn":["2472-0054"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric Quality &amp; Safety","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13716418","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13716418/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13716418/pdf/pqs-11-e946.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatr Qual Saf","raw_type":"Text"},{"id":"pmid:42953609","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42953609","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric quality & safety","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1097/pq9.0000000000000946","doi":"https://doi.org/10.1097/pq9.0000000000000946","is_oa":true,"landing_page_url":"https://doi.org/10.1097/pq9.0000000000000946","pdf_url":null,"source":{"id":"https://openalex.org/S4210210253","display_name":"Pediatric Quality and Safety","issn_l":"2472-0054","issn":["2472-0054"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric Quality &amp; Safety","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.7578999996185303,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G9000877396","display_name":"Childhood Diabetes and Adiposity Research Training (C-DART)","funder_award_id":"T32DK077586","funder_id":"https://openalex.org/F4320337357","funder_display_name":"National Institute of Diabetes and Digestive and Kidney Diseases"}],"funders":[{"id":"https://openalex.org/F4320337357","display_name":"National Institute of Diabetes and Digestive and Kidney Diseases","ror":"https://ror.org/00adh9b73"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224538776.pdf","grobid_xml":"https://content.openalex.org/works/W7224538776.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W2847457260","https://openalex.org/W2909166675","https://openalex.org/W2981310284","https://openalex.org/W3080244655","https://openalex.org/W3156715881","https://openalex.org/W3185583154","https://openalex.org/W4200088336","https://openalex.org/W4283009767","https://openalex.org/W4297013950","https://openalex.org/W4309773402","https://openalex.org/W4310834463","https://openalex.org/W4321749726","https://openalex.org/W4324305901","https://openalex.org/W4387115555","https://openalex.org/W4387568222","https://openalex.org/W4389042103","https://openalex.org/W4405235801","https://openalex.org/W4408646266","https://openalex.org/W7161546634"],"related_works":["https://openalex.org/W4408646266","https://openalex.org/W7152619863","https://openalex.org/W4381376573","https://openalex.org/W7163675546","https://openalex.org/W3185583154","https://openalex.org/W2948644793","https://openalex.org/W7163716341","https://openalex.org/W2895980373","https://openalex.org/W4307805268","https://openalex.org/W7223652357"],"abstract_inverted_index":{"Introduction:":[0],"Automated":[1],"insulin":[2,35,108,126,168,191],"delivery":[3],"is":[4,212,222],"recommended":[5],"for":[6,57,135],"youth":[7,20,178],"with":[8,21,84,92,98,179],"type":[9,122],"1":[10,25,28],"diabetes":[11],"(T1D).":[12],"We":[13,79],"aimed":[14],"to":[15,39,114,129,149,224],"increase":[16,198],"the":[17,55,76,81,187,190,217],"percentage":[18],"of":[19,69,177,189],"T1D":[22,180],"(diagnosed":[23],">":[24],"y)":[26],"in":[27,199],"pediatric":[29],"health":[30],"system":[31],"actively":[32],"using":[33,75],"an":[34],"pump":[36,109,127,169,192,207,227],"from":[37,112,125,147],"56%":[38,113],"65%":[40],"within":[41],"18":[42],"months":[43],"while":[44],"reducing":[45],"disparities":[46,117],"based":[47],"on":[48],"race/ethnicity":[49,119],"and":[50,71,95,105,120,154,174,185,219,229],"insurance":[51,121],"type.":[52],"Methods:":[53],"Following":[54],"Model":[56],"Improvement,":[58],"local":[59],"stakeholders":[60],"organized":[61],"this":[62],"quality":[63],"improvement":[64],"project,":[65],"identified":[66],"a":[67,85,139,182,196],"theory":[68],"change,":[70],"tested":[72],"change":[73],"ideas":[74],"plan-do-study-act":[77],"framework.":[78],"evaluated":[80],"primary":[82],"outcome":[83],"statistical":[86],"process":[87,194],"control":[88],"chart,":[89],"secondary":[90],"outcomes":[91],"run":[93],"charts,":[94],"other":[96],"measures":[97],"descriptive":[99],"statistics.":[100],"Results:":[101],"Between":[102],"February":[103],"2024":[104],"August":[106],"2025,":[107],"use":[110,170,228],"increased":[111,167,206],"65%,":[115],"but":[116],"by":[118,132],"persisted.":[123],"Time":[124],"education":[128],"initiation":[130,193],"decreased":[131,146],"19.8":[133],"days":[134],"patients":[136],"who":[137],"attended":[138],"group":[140],"technology":[141],"class.":[142],"Non-face-to-face":[143],"encounter":[144],"volume":[145],"938":[148],"862":[150],"encounters":[151],"per":[152,162],"month,":[153],"diabetes-associated":[155,202],"ketoacidosis":[156,203],"events":[157],"remained":[158],"stable":[159],"at":[160,181,216],"2%":[161],"month.":[163],"Conclusions:":[164],"This":[165],"initiative":[166],"among":[171,209],"both":[172,210],"reference":[173],"minoritized":[175],"groups":[176,211],"single":[183],"institution":[184],"improved":[186],"efficiency":[188],"without":[195],"measurable":[197],"workload":[200],"or":[201],"events.":[204],"Although":[205],"adoption":[208],"encouraging,":[213],"continued":[214],"advocacy":[215],"individual":[218],"policy":[220],"levels":[221],"needed":[223],"achieve":[225],"optimal":[226],"reduce":[230],"disparities.":[231]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-30T00:00:00"}
