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Care Utilization Patterns and Diabetes Self-Management Education Duration.

Tammie M Johnson1, Jennifer Richards1, James R Churilla2

  • 1University of North Florida, Department of Public Health, Brooks College of Health, Jacksonville, FL.

Diabetes Spectrum : a Publication of the American Diabetes Association
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Summary

Longer diabetes self-management education (DSME) is linked to increased use of essential diabetes care services. More DSME hours correlate with higher rates of A1C tests and vaccinations, improving patient outcomes.

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Area of Science:

  • Public Health
  • Diabetes Management
  • Healthcare Utilization

Background:

  • Diabetes self-management education (DSME) is known to increase care utilization.
  • The specific impact of DSME duration on care patterns requires further investigation.

Purpose of the Study:

  • To characterize the duration of DSME received by adults with diabetes.
  • To examine the association between DSME duration and the utilization of clinical and self-care services.

Main Methods:

  • Analysis of 1,446 adult participants from the 2008 Florida Behavioral Risk Factor Surveillance System survey.
  • Outcomes measured included daily blood glucose monitoring, eye/foot exams, A1C tests, and influenza/pneumococcal vaccinations.
  • DSME duration categorized into: none, <4 hours, 4-10 hours, and >10 hours.

Main Results:

  • Adults with 4-10 or 10+ hours of DSME were more likely to receive two A1C tests compared to those with no DSME.
  • Participants with 4-10 or 10+ hours of DSME had higher odds of receiving a pneumococcal vaccination.
  • Those with 10+ hours of DSME were 2.2 times more likely to have an influenza vaccination.

Conclusions:

  • A positive correlation exists between the duration of DSME and the utilization of specific diabetes clinical care services.
  • Increased DSME duration appears to enhance adherence to recommended preventive care and monitoring for diabetes.