Patient-perceived service needs and health care utilization in people with type 2 diabetes

Ni, Yunxia; Liu, Suzhen; Li, Jiping; Li, Simin; Dong, Ting

doi:10.1097/md.0000000000020322

Cited by 5 publications

(8 citation statements)

References 53 publications

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“…This result is considerably lower than might be expected from the relative prevalence of antidepressant-prescribed individuals in men and women in the general population, which a large international study [27] reported as being almost double for women compared to men. This may suggest reduced gender inequalities in access to antidepressant treatment for men with comorbid depression and T2DM compared to those without diabetes, perhaps due to the increased contact with healthcare services for people with diabetes of both genders compared to those without diabetes [49] .…”

Section: Discussionmentioning

confidence: 99%

“…Higher odds of antidepressant prescribing may have been expected in insulin users compared to participants not using insulin, as a 2006 meta-analysis [52] showed that insulin use was associated with increased depression symptoms in T2DM. Insulin users represent participants with more complex T2DM, who may be more likely to have increased contact time with healthcare services [49] , which could provide increased opportunity to discuss antidepressant treatment. Again, however, this was not found to be the case.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and characteristics of antidepressant prescribing in adults with comorbid depression and type 2 diabetes mellitus: A systematic review and meta-analysis

Jeffery

Maconick

Francis

et al. 2021

Health Sciences Review

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of antidepressant prescribing in adults with comorbid depression and type 2 diabetes mellitus: A systematic review and meta-analysis

Jeffery

Maconick

Francis

et al. 2021

Health Sciences Review

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“…However, many others do not go to health services, where they would have care with preventive measures for the low CVR they currently have. This means that there are areas of opportunity for effective primary care, focused on improving the care programs for patients with early diagnosis of CVR, with interventions to modify lifestyle and change to healthy behaviors as the most important step for both the health system and the patient, without forgetting that to achieve a change the perceived need should be taken into account, and the knowledge of adults concerning the importance of turning to health services for timely detection and care should be reinforced [31].…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular Risk in Adults and its Association with Health Services Utilization. ENSANUT 2018-2019

Hernández¹,

Arreola²,

Sida³

et al. 2020

WJCD

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Background The use of health services by the adult population is related to cardiovascular risk and its stratification. Cardiovascular risk (CVR) stratification should be a tool for the assessment of the patients and the appropriate control during the process of medical care and utilization of health services for the adults. Objective Evaluate the association between cardiovascular risk (CVR) in adults and the utilization of health services. Material and Methods A secondary analysis was performed of the data from the National Health and Nutrition Survey (ENSANUT) 2018-2019. The CVR classification (risk score) was obtained in 43,070 adults with a previous diagnosis (self-report) and 1,237 adults newly diagnosed. Independent, risk factors and the association between groups of CVR and utilization of preventive, outpatient and hospital services were analyzed. Results More than 85% of adults interviewed have some degree of CVR. Almost half of them have low CVR (48.2%). Older adults with social security predominate in the group with high and very high CVR. Seventy-five percent of adults recently diagnosed have low CVR. In both, there is very little utilization of health services. For adults previously diagnosed CVR, the higher the CVR, the greater the likelihood of utilization of outpatient, preventive and hospital services, in contrast to adults without CVR independent of the marital status, sex, health institution and socioeconomic level. Conclusion The results give evidence of areas of opportunity for improvement in the quality of health services. The evaluation of CVR in primary care and promotion and prevention of CVR should be strengthened.

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“…mixed research design uses both qualitative and quantitative approaches. The qualitative approach will be major and exploratory, and the quantitative methodology will be done in sequence [15].…”

Section: Methodsmentioning

confidence: 99%

“…The expected bene ts of using m-health should meet patients' needs and requirements. It should be implemented in a manner to support feedback loops in the self-management regime [15].…”

Section: Data Analysis Planmentioning

confidence: 99%

Development and utility of m-health enabled nutrition informatics intervention for self-care management of type 2 diabetes in home settings.

Sinha

Singhal

Gupta³

et al. 2022

Preprint

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Background Diabetes represents an important public health challenge in India and globally. It affects the quality of life and is one of the leading causes of death and disability. The burden on global health is huge, and about 463 million adults are currently living with diabetes. 77 million people in India in the age group of 20–79 years are affected by this pandemic, and the total cost of health expenditure is 8 billion US dollars. This is a huge burden and a great economic cost on public health. The research aims to explore the concept of diabetes self-management and major research questions would comprise asking what affects self-management in people with diabetes and how m-health applications and interventions can impact the self-management behaviors in development and the utility of the m-health apps in self-management of people with diabetes. Therefore, this research protocol is of great significance and would bring an integrative approach to self-care management. This study protocol was developed on the m-health application and testing nutrition informatics intervention for self-care management of type 2 diabetes at home. Objective To design, develop, and assess the impact of an m-health-enabled nutrition informatics intervention for home-based type 2 diabetes self-management in an Indian setting. Methods The study is divided into three phases, in the first phase a systematic literature review of global and Indian literature using Scoping review method using PRISMA- SCR tool to report on various m-health interventions on Self-care management regimes on type 2 diabetes and Nutrition informatics will evaluate the effectiveness and utility of m-health application developed on Selfcare management with nutrition informatics will be reported. In the second phase m-health application on Selfcare management and nutrition informatics regime will be made and in the third phase of the study evaluation of the m-health application will be done using System Usability Scale (SUS) usability and mixed research evaluation with end-users using Diabetes based management system (DBMS)questionnaire. A mixed research study will be conducted between June 2022 and March 2023. A sample of approximately 250 individuals will be recruited and enrolled using a non-probability complete enumeration sampling method from selected urban settings in Delhi. The inclusion and exclusion criteria for males and females aged 20–79 years old with Type 2 diabetes and access to a smartphone. Data will be collected using globally tested tools like the Diabetes Based Management System (DBMS) questionnaires. The collected data will be used to assess the use and utility of the mobile health application developed. The qualitative study using IDIs and FGD will be done to understand knowledge, attitudes, practices, and beliefs regarding diabetes self-care management. Qualitative methods will be focus group discussion (FGD) and in-depth interviews (IDIs) in the study. Lastly, the study questionnaire system usability survey, a global tested tool (SUS), will be used to assess the usability of mobile applications for self-care management of diabetes. Therefore, this study involves three phases, phase 1 will be scoping review using the PRISMA reporting, phase 2 is a human-centered design (HCD) of m-health informatics application for type 2 diabetes and phase 3 will be the evaluation of the designed application using globally tested tool System usability scale (SUS). Results A sample of 250 individuals will go through a pretested DBMS questionnaire. The data collection will be initiated in June 2022, and the initial results are planned for publication by July 2023. Out of n = 250 individuals, at least 120 individuals will be retained in the study. A qualitative study using descriptive analysis of the gathered data will be performed using SPSS V11, and reporting of the results will be done at 95% CIs and P = .0.05. A qualitative study will be exploratory sequential and the first exploratory study using IDIs and FGDs will be done followed by a quantitative method this exploratory sequential study will draw inference from the mixed study. Conclusions The findings of the study using scoping review would inform the elements essential for the development of m-health to improve self-care management of diabetes at home settings in India and its wider application in the global framework. The m-health application will be designed on m-health nutrition informatics. The usefulness and acceptance of the proposed m-health intervention will be evaluated using the globally tested tool System Usability Scale (SUS) for evaluation.

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Patient-perceived service needs and health care utilization in people with type 2 diabetes

Cited by 5 publications

References 53 publications

Prevalence and characteristics of antidepressant prescribing in adults with comorbid depression and type 2 diabetes mellitus: A systematic review and meta-analysis

Prevalence and characteristics of antidepressant prescribing in adults with comorbid depression and type 2 diabetes mellitus: A systematic review and meta-analysis

Cardiovascular Risk in Adults and its Association with Health Services Utilization. ENSANUT 2018-2019

Development and utility of m-health enabled nutrition informatics intervention for self-care management of type 2 diabetes in home settings.

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