Annual wellness visits are associated with increased use of preventive services in patients with diabetes living in the Diabetes Belt - 06/08/22
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Highlights |
• | Only about 17% of Medicare beneficiaries with diabetes used Annual Wellness Visits (AWVs) in 2015 in the Diabetes Belt. |
• | AWVs were significantly associated with increased preventive care use among patients with diabetes in the Diabetes Belt. |
• | AWV users had 22%, 42%, 69%, and 238% higher odds of using annual eye exams, A1c testing, foot exams, and microalbuminuria testing, respectively, compared to those who have not used AWVs. |
Abstract |
Objective |
To examine whether Annual Wellness Visits (AWVs) were associated with increased use of preventive services in Medicare patients with diabetes living in the Diabetes Belt.
Methods |
We used a case-control design where outcomes were utilization of preventive services recommended for patients with diabetes (foot exam, eye exam, A1c test, and microalbuminuria test) and the exposure was AWVs using data for Medicare patients with diabetes in 2014 – 2015 residing in the Diabetes Belt (N = 412,009).
Results |
Only 13.4% of patients in 2014 and 17.4% in 2015 used AWVs. Eye exams (61% vs 53%), foot exams (93% vs 79%), A1c tests (81% vs 71%), and microalbuminuria tests (45% vs 28%) were more common among patients who had an AWV in the preceding year compared with those who did not. These differences remained significant after adjusting for patient demographics, comorbidities, county level medical resources, and geographic factors.
Conclusions |
AWVs were significantly associated with increased preventive care use among patients with diabetes living in the Diabetes Belt. Low AWV utilization by patients with diabetes in and around the Diabetes Belt is concerning.
Le texte complet de cet article est disponible en PDF.Keywords : Diabetes, Preventive care utilization, Diabetes Belt, Case-control study
Abbreviations : ADA, AHRF, AWV, CHF, CMS, E&M, FFS, HCPCS, HMO, ICD, IQR, MA
Plan
Vol 7
Article 100094- juillet 2022 Retour au numéro
Article précédent
- Time trend of diabetes mellitus in adults and elderly people in Rio Branco, Acre, Western Brazilian Amazon (2006–2020)
- Yara de Moura Magalhães Lima, Fernanda Andrade Martins, Alanderson Alves Ramalho
- Piloting a new compensation model for endocrinologists to improve diabetes care
- Jamil Alkhaddo, Amit Bhargava, Caitlan Rossi, Paul Jerome Custodio, Patricia Bononi, Ellen Kramer, Izabela Stanescu
Bienvenue sur EM-consulte, la référence des professionnels de santé.