Factors Associated With Receipt of Diabetes Self-Management Education and Support for Type 2 Diabetes: Potential for a Population Health Management Approach
Authors' conclusion
Diabetes Self-Management Education and Support remains underutilized in this cohort of adults using telemedicine to access endocrinology care for T2D. Factors contributing to clinical complexity increased the odds of receiving DSMES. These results support a potential population health management approach using EMR data, which could target DSMES resources to those at higher risk of poor outcomes. This risk-stratified approach may be even more effective now that more people can access DSMES via telemedicine in addition to in-person care.
Study context
- Population
- Adults who used telemedicine for T2D endocrinology care in a large integrated health system, May 2020 to May 2022
- Participants
- 3,530 adults
- Outcome
- Receipt of DSMES and its association with key patient characteristics
Methodological detailselectronic medical record data, multilevel regression models, single integrated health system
- Electronic medical record data
- Multilevel regression models
- Single integrated health system
Main finding
As reported in the abstract
Received Diabetes Self-Management Education and Support (DSMES)
401 patients
11%
Higher baseline HbA1c (≥9% vs <7%), OR
3.10 (2.22-4.33) (95% CI)
Insulin regimen complexity (MDI vs no insulin), OR
3.53
2.59–4.80
Number of noninsulin medications (per 1 additional medication), OR
1.17
1.05–1.30
Observational data: associations, not effects.
Original publication
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