Implementation rate of diabetic self-management education and support for Japanese people with diabetes using the National Database.
J Diabetes Investig
; 15(7): 861-866, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38625030
ABSTRACT
People with diabetes are encouraged to receive diabetes self-management education and support (DSMES) appropriately. However, in Japan, the implementation rates of DSMES are not known. DSMES implementation rates were calculated using the National Database of claims data, which included nearly all insurance-covered medical procedures. The study enrolled participants who received regular antidiabetic medications between April 2017 and March 2018. The implementation rates of DSMES-related care were calculated by characteristics, visiting medical facilities and prefectures. In 4,465,513 participants receiving antidiabetic medications (men, 57.8%; insulin use, 14.1%), nutrition guidance (5.6%) was the most frequently provided care type. Insulin users and participants visiting Japan Diabetes Society-certified and large medical institutions had higher implementation rates of nutrition guidance. DSMES-related care might not be provided adequately for Japanese people with diabetes. Further studies are needed to develop an optimal diabetes care system.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Educação de Pacientes como Assunto
/
Bases de Dados Factuais
/
Autogestão
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article