Social Care Recommendations in National Diabetes Treatment Guidelines
| Autor: | Benjamin Aceves, Rose Gunn, Maura Pisciotta, Na’amah Razon, Erika Cottrell, Danielle Hessler, Rachel Gold, Laura M. Gottlieb |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
Endocrinology Diabetes and Metabolism Clinical Sciences 8.1 Organisation and delivery of services Endocrinology & Metabolism 7.1 Individual care needs Clinical Research Behavioral and Social Science Internal Medicine Diabetes Mellitus Treatment guidelines Humans Referral and Consultation Metabolic and endocrine Nutrition and Dietetics Social care Diabetes Social Support Health Services Diabetes Mellitus Type 2 Public Health and Health Services Management of diseases and conditions Generic health relevance Health disparities Delivery of Health Care Type 2 Health and social care services research |
| Zdroj: | Current diabetes reports, vol 22, iss 10 |
| Popis: | Purpose of Review An expanding body of research documents associations between socioeconomic circumstances and health outcomes, which has led health care institutions to invest in new activities to identify and address patients’ social circumstances in the context of care delivery. Despite growing national investment in these “social care” initiatives, the extent to which social care activities are routinely incorporated into care for patients with type II diabetes mellitus (T2D), specifically, is unknown. We conducted a scoping review of existing T2D treatment and management guidelines to explore whether and how these guidelines incorporate recommendations that reflect social care practice categories. Recent Findings We applied search terms to locate all T2D treatment and management guidelines for adults published in the US from 1977 to 2021. The search captured 158 national guidelines. We subsequently applied the National Academies of Science, Engineering, and Medicine framework to search each guideline for recommendations related to five social care activities: Awareness, Adjustment, Assistance, Advocacy, and Alignment. The majority of guidelines (122; 77%) did not recommend any social care activities. The remainder (36; 23%) referred to one or more social care activities. In the guidelines that referred to at least one type of social care activity, adjustments to medical treatment based on social risk were most common [34/36 (94%)]. Summary Recommended adjustments included decreasing medication costs to accommodate financial strain, changing literacy level or language of handouts, and providing virtual visits to accommodate transportation insecurity. Ensuring that practice guidelines more consistently reflect social care best practices may improve outcomes for patients living with T2D. |
| Databáze: | OpenAIRE |
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