ArticlePloS one2017
Barriers to care in patients with diabetes and poor glycemic control-A cross-sectional survey.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 56 citations in OpenAlex.
- Evaluating the coding accuracy of type 2 diabetes mellitus among patients with non-alcoholic fatty liver disease.BMC health services research · 2024Article
- Telementoring With Project ECHO: A New Era in Diabetes-Related Continuing Education for Primary Care to Address Health Disparities.Journal of diabetes science and technology · 2023Review
- Dietary knowledge assessment among the patients with type 2 diabetes in Madinah: A cross-sectional study .F1000Research · 2023Article
- Identifying patient preferences for diabetes care: A protocol for implementing a discrete choice experiment in Samoa.PloS one · 2023Article
- Lifestyle support preferences of patients with cardiovascular diseases: What lifestyle support might work best for whom?PEC innovation · 2022Article
- Long-Term Effectiveness of the TIME Intervention to Improve Diabetes Outcomes in Low-Income Settings: a 2-Year Follow-Up.Journal of general internal medicine · 2022Article
- Factors affecting nonadherence to treatment among type 2 diabetic patients with limited health literacy: Perspectives of patients, their families, and healthcare providers.Journal of education and health promotion · 2022Article
- Barriers and Facilitators in Access to Diabetes, Hypertension, and Dyslipidemia Medicines: A Scoping Review.Public health reviews · 2022Article
- Variation in Patient-Described Barriers to and Facilitators of Diabetes Management by Individual-Level Characteristics: A Cross-Sectional, Open-Ended Survey.Clinical diabetes : a publication of the American Diabetes Association · 2022Article
- Disparities in Hemoglobin ADiabetes care · 2021Article
- Collaborative care model for diabetes in primary care settings in Qatar: a qualitative exploration among healthcare professionals and patients who experienced the service.BMC health services research · 2021Article
- Introduction of a community health worker diabetes coach improved glycemic control in an urban primary care clinic.Preventive medicine reports · 2021Article
- The effect of the integration of health services on health care usage among patients with type 2 diabetes in North Karelia, Finland.BMC health services research · 2021Article
- Barriers to Diabetes Self-Management in a Subset of New Zealand Adults with Type 2 Diabetes and Poor Glycaemic Control.Journal of diabetes research · 2021Article
- Nationwide Survey on Actual Interventions for Type 2 Diabetes by Japanese Practitioners (NSAID Study-1): Glycemic, Weight, and Blood Pressure Management.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020Article
- Role of social and other determinants of health in the effect of a multicomponent integrated care strategy on type 2 diabetes mellitus.International journal for equity in health · 2020Article
- The Longitudinal Influence of Social Determinants of Health on Glycemic Control in Elderly Adults With Diabetes.Diabetes care · 2020Article
- Modeling the Research Landscapes of Artificial Intelligence Applications in Diabetes (GAPInternational journal of environmental research and public health · 2020Article
- Self-Management Barriers Perceived by Patients with Type 2 Diabetes: A Confirmatory Factor Analysis.International journal of preventive medicine · 2020Article
- The power of the group: comparison of interviews and group concept mapping for identifying patient-important outcomes of care.BMC medical research methodology · 2019Observational
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo determine and quantify the prevalence of patient, provider and system level barriers to achieving diabetes care goals; and to examine whether barriers were different for people with poor glycemic control (HbA1c ≥ 10%; 86 mmol/mol) compared to fair glycemic control (7 to <8%; 53-64 mmol/mol).
methodsWe administered a survey by telephone to community-dwelling patients with diabetes, to examine patient-reported barriers and facilitators to care. We compared responses in individuals with HbA1c ≥ 10% (86 mmol/mol) against those with HbA1c between 7-8% (53-64 mmol/mol). We examined associations between HbA1c group and barriers to care, adjusting for sociodemographic factors and diabetes duration.
resultsThe survey included 805 people with HbA1c ≥ 10% (86 mmol/mol), and 405 people with HbA1c 7-8% (53-64 mmol/mol). Participants with HbA1c ≥ 10% (86 mmol/mol) reported good access to care, however 20% of participants with HbA1c ≥ 10% (86 mmol/mol) felt that their care was not well-coordinated and 9.6% reported having an unmet health care need. In adjusted analysis, patients with HbA1c ≥10% (86 mmol/mol) were more likely to report lack of confidence and inadequate social support, compared to patients with HbA1c 7-8% (53-64 mmol/mol). They were also significantly more likely not to have drug insurance nor to have received recommended treatments because of cost.
conclusionsThese results reinforce the importance of an individualized, yet multi-faceted approach. Specific attention to financial barriers seems warranted. These findings can inform the development of programs and initiatives to overcome barriers to care, and improve diabetes care and outcomes.
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