Disparities in attendance at diabetes self-management education programs after diagnosis in Ontario, Canada: a cohort study
| العنوان: | Disparities in attendance at diabetes self-management education programs after diagnosis in Ontario, Canada: a cohort study |
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| المؤلفون: | Marianne Sigmond, Karen Cauch-Dudek, J. Charles Victor, Baiju R. Shah |
| المصدر: | BMC Public Health BMC Public Health, Vol 13, Iss 1, p 85 (2013) |
| بيانات النشر: | BioMed Central, 2013. |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Adolescent, 030209 endocrinology & metabolism, Disparities, Disease, Cohort Studies, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Patient Education as Topic, Diabetes mellitus, Population-based research, Epidemiology, medicine, Diabetes Mellitus, Humans, 030212 general & internal medicine, Young adult, Healthcare Disparities, Diabetes self-management education programs, Aged, Aged, 80 and over, Ontario, business.industry, Public health, lcsh:Public aspects of medicine, Public Health, Environmental and Occupational Health, Attendance, lcsh:RA1-1270, Middle Aged, Patient Acceptance of Health Care, medicine.disease, 3. Good health, Self Care, Socioeconomic Factors, Family medicine, Utilization of health services, Female, Biostatistics, business, Cohort study, Research Article |
| الوصف: | Background Patients newly-diagnosed with diabetes require self-management education to help them understand and manage the disease. The goals of the study were to determine the frequency of diabetes self-management education program utilization by newly-diagnosed patients, and to evaluate whether there were any demographic or clinical disparities in utilization. Methods Using population-level health care data, all 46,553 adults who were diagnosed with any type of non-gestational diabetes in Ontario, Canada between January and June 2006 were identified. They were linked with a diabetes self-management education program registry to identify those who attended within 6 months of diagnosis. The demographic and clinical characteristics of attendees and non-attendees were compared. Results A total of 9,568 (20.6%) patients attended a diabetes self-management education program within 6 months of diagnosis. Younger age, increasing socioeconomic status, and the absence of mental health conditions or other medical comorbidity were associated with attendance. Patients living in rural areas, where access to physicians may be limited, were markedly more likely to attend. Recent immigrants were 40% less likely to attend self-management education programs than longer-term immigrants or nonimmigrants. Conclusion Only one in five newly-diagnosed diabetes patients attended a diabetes self-management education program. Demographic and clinical disparities in utilization persisted despite a publicly-funded health care system where patients could access these services without direct charges. Primary care providers and education programs must ensure that more newly-diagnosed diabetes patients receive self-management education, particularly those who are older, poorer, sicker, or recent immigrants. |
| اللغة: | English |
| تدمد: | 1471-2458 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2df5afa2da90e14d917cbdb56d045b4bTest http://europepmc.org/articles/PMC3568403Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2df5afa2da90e14d917cbdb56d045b4b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712458 |
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