Impact of socio‐economic position on health and quality of care in adults with Type 2 diabetes in France: the Entred 2007 study

Fosse-Edorh, Sandrine; Fagot-Campagna, A.; Detournay, B.; Bihan, H.; Eschwège, É.; Gautier, Arnaud; Druet, C.

doi:10.1111/dme.12783

Cited by 47 publications

(44 citation statements)

References 27 publications

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“…12 33 Our observation that T2D patients with low incomes and low levels of education have the strongest association to high HbA1c is in line with Fosse-Edorh et al, who reported that people with a low economic status were 60% more likely to be diagnosed with diabetes due to diabetes complications. 14 The reciprocal relationship between SEP and the risk of acquiring diabetes and diabetes-associated complications is ascribed a higher prevalence of known risk factors (obesity, unhealthy diet and smoking). 10 11 13 However, risk of acquiring diabetes is not the same outcome as metabolic derangement at diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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Education, immigration and income as risk factors for hemoglobin A1c >70 mmol/mol when diagnosed with type 2 diabetes or latent autoimmune diabetes in adult: a population-based cohort study

Martinell

Pingel

Hallqvist

et al. 2017

BMJ Open Diab Res Care

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ObjectivesThe aim of this research is to study education, income and immigration as risk factors for high hemoglobin A1c (HbA1c >70 mmol/mol (8.6%)) when diagnosed with type 2 diabetes (T2D) or latent autoimmune diabetes in the adult (LADA).Research design and methodsPatients were included from the All New Diabetics in Scania study (2008-2013). Level of education, disposable income and immigration year were retrieved from the longitudinal integrated database for labour market research (LISA) register compiled by Statistics Sweden. Logistic regression models were used to estimate ORs for HbA1c >70 mmol/mol (8.6%) at diagnosis.ResultsA total of 3794 patients with incident T2D (n=3 525) or LADA (n=269) were included. Patients with T2D with a low (≤9 years) or medium (10-12 years) levels of education were more likely to have high HbA1c at diagnosis compared with patients with T2D with a high (>12 years) level of education (OR 1.34, 95% CI 1.08 to1.66, OR 1.26, 95% CI 1.03 to 1.54). Low-income patients with T2D (<60% of median) were more likely to have high HbA1c at diagnosis compared with high-income patients withT2D (>150% of median) (OR 1.35, 95% CI 1.02 to 1.79).ConclusionsPatients with lower levels of education or low income and are more likely to have HbA1c is >70 mmol/mol (8.6%) when diagnosed with T2D. An understanding of how socioeconomic position influences the clinical presentation at diagnosis may facilitate screening programs designed to target populations at risk for delayed diagnosis.

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Section: Discussionmentioning

confidence: 99%

“…Low SEP is associated with a higher incidence of T2D and an increased risk for diabetes complications. [11][12][13][14] Disposable income and level of education also affect health by influencing lifestyle factors like smoking and smoking cessation. 13 Immigration is often accompanied by a decline in SEP.…”

Section: Significance Of This Studymentioning

confidence: 99%

Education, immigration and income as risk factors for hemoglobin A1c >70 mmol/mol when diagnosed with type 2 diabetes or latent autoimmune diabetes in adult: a population-based cohort study

Martinell

Pingel

Hallqvist

et al. 2017

BMJ Open Diab Res Care

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show abstract

“…These authors found that GPs in Norway treat diabetic patients differently according to their socioeconomic status without evidence of a social gradient. A similar study conducted in France also found that the variation in the quality of diabetes care was associated with the socioeconomic position but with evidence of a social gradient (Fosse-Edorh et al, 2015). French evidence also suggests the importance of the GPs practice for the quality of care, notably the superiority of multidisciplinary group concerning the monitoring of diabetic patients (Mousquès & Daniel, 2015).…”

Section: Patients' Opportunity Cost and Physicians' Behaviormentioning

confidence: 91%

Adherence to medical follow‐up recommendations reduces hospital admissions: Evidence from diabetic patients in France

et al. 2020

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The aim of this study was to document the extent to which diabetic patients who adhered to required medical follow‐ups in France experienced reduced hospital admissions over time. The main assumption was that enhanced monitoring and follow‐up of diabetic patients in the primary care setting could be a substitute for hospital use. Using longitudinal claim data of diabetic patients between 2010 and 2015 from MGEN, a leading mutuelle insurance company in France, we estimated a dynamic logit model with lagged measures of the quality of adherence to eight medical follow‐up recommendations. This model allowed us to disentangle follow‐up care in hospitals from other forms of inpatient care that could occur simultaneously. We found that a higher adherence to medical guidance is associated with a lower probability of hospitalization and that the take‐up of each of the eight recommendations may help reduce the rates of hospital admission. The reasons for the variation in patient adherence and implications for health policy are discussed.

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“…Whereas, the high economic standard is easy to meet the therapeutic needs (12). Another study was conducted in France also reported that diabetes patients with low economic level undertake the diagnose at the later stage with suffering more complication and report being less empowered (35). In addition, health insurance againts diabetic patients with lower economic status also obtained quality of care and have poorer outcomes, and inequalities for other chronic health conditions (36)(37)(38).…”

Section: Financial Resources and Economic Statusmentioning

confidence: 99%

A Social-Ecological Approach to Determine Barriers of DMSM Practice For Patients with Type 2 Diabetes Mellitus: A literature review

Usman¹,

Pamungkas

2018

IJNHS

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Diabetes mellitus is one of the global problems the world. Since the complexity of the patient’s tasks is required in the diabetes care, the consistency to engage this various health behavior for addressing the glycemic control target is difficult to achieve. Failure management may reflect by patient, family, inadequate intervention strategies by health care provider as well as organization factor. Three databases used such as PubMed, MIDLINE, and CINAHL to address patient’s barriers, family’s barriers, and provider’s barriers as well as organization barriers for diabetes management. Patient’s attitudes and belief, knowledge, culture, and ethnicity, self-efficacy, financial resources and economic status, lack of Social Support Perceived, and lack of time may influence the diabetes self-management. Family factors lead to patients’ diabetes self-management such as lack of knowledge and skill to support patients in diabetes management and quality of the relationship between patients-family. Health care providers factors included beliefs, attitudes, knowledge and skill and patient–family-provider interaction and communication. Other factors lead to diabetes self-management and health care provider performance to provide the intervention from organization level such as integrated health system sufficiency health insurance to support resources. A deeper understanding of the barriers in diabetes management is necessary to improve the diabetes care and quality of health care services for patients with diabetes. Further research needs to consider these barriers before designing the effective, sensitive interventions and problem solving for diabetes care

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Impact of socio‐economic position on health and quality of care in adults with Type 2 diabetes in France: the Entred 2007 study

Abstract: Despite frequent access to full healthcare coverage, socio-economic position has an impact on the diagnosis of diabetes, health status and quality of diabetes care in France.

Cited by 47 publications

References 27 publications

Education, immigration and income as risk factors for hemoglobin A1c >70 mmol/mol when diagnosed with type 2 diabetes or latent autoimmune diabetes in adult: a population-based cohort study

Education, immigration and income as risk factors for hemoglobin A1c >70 mmol/mol when diagnosed with type 2 diabetes or latent autoimmune diabetes in adult: a population-based cohort study

Adherence to medical follow‐up recommendations reduces hospital admissions: Evidence from diabetic patients in France

A Social-Ecological Approach to Determine Barriers of DMSM Practice For Patients with Type 2 Diabetes Mellitus: A literature review

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