Diabetic foot and lower limb amputations at central, provincial and tertiary hospitals-underscores the need for organised foot health services at primary healthcare level

Ntuli, Simiso; Letswalo, Dimakatso

doi:10.1016/j.foot.2023.102039

Cited by 2 publications

(1 citation statement)

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“…As the level of unmet healthcare needs increases among diabetic patients, the rates of health check‐ups and ophthalmic examinations decrease, and the likelihood of encountering healthcare professionals decreases (Cole & Nguyen, 2020 ). The diabetic foot amputation rate is 73% higher (Ntuli & Letswalo, 2023 ), and compared to patients with fulfilled healthcare utilization, patients with unmet needs have 1.29 times higher hospitalization rates, 1.75 times higher mortality rates and 1.34 times higher high‐cost utilization rates (Kim et al, 2006 ). Therefore, based on the findings of this study, in order to reduce diabetes‐related complications, disabilities, hospitalization rates and mortality rates, it is essential to support vulnerable diabetic patients experiencing unmet healthcare needs in accessing the necessary medical care.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting unmet medical needs of patients with diabetes: A population‐based study

Kim

Yang

2023

Nursing Open

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AimsThe purpose of this study was to identify unmet medical needs and related factors in patients with diabetes.DesignA cross‐sectional study.MethodsParticipants included 2269 diabetes patients aged >19 years by using data from the National Health and Nutrition Examination Surveys. A complex sample design multiple logistic regression analysis was performed.ResultsThe study found that 8.7% of diabetes patients experienced unmet medical needs, and it was found to be higher for those who thought their self‐assessed health status was unhealthy and often felt stressed in their daily life. Gender and education level had a moderating effect on income level on unmet medical needs experience.ConclusionThese findings have important implications for nursing practice in the management of diabetes. Nurses can develop targeted interventions that address the specific needs of patients who are at risk for unmet medical needs, particularly those from low‐income backgrounds. By considering the factors that contribute to unmet medical needs and the moderating effect of income level, nurses can improve patient outcomes and reduce the burden of diabetes.

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Section: Discussionmentioning

confidence: 99%