Abstract
To prevent negative outcomes for diabetes patients, developing self-management skills is imperative. This study aimed to examine the association between management of chronic disease (MCD), which mainly involves educating patients about their chronic diseases for obtaining self-management skills and hospitalization due to diabetes among type 2 diabetes patients in Korea. Korean National Health Insurance Service National Sample Cohort data from 2002 to 2013 were used. A total of 54,031 type 2 diabetes patients were included in the study. If patients received the MCD within 1 year from the onset of diabetes, we categorized them as “MCD received patients” We reclassified these groups into five groups: “non-receiving”, “1–3 times”, “4–6 times”, “7–9 times” and “10–12 times” The dependent variable of this study was hospitalization due to diabetes. Cox proportional hazard regression was used. Of the patients, 86.2% (n = 46,571) did not received the MCD within the 1 year from the onset of diabetes. The number of MCDs received increased and the hazard ratio (HR) for hospitalization due to diabetes decreased; particularly, patients who received MCD 10–12 times per annum showed the lowest HR for hospitalization due to diabetes compared to patients in the MCD non-received group (1–3 times per annum: HR: 0.81, p = 0.0001; 4–6 times per annum: HR: 0.82, p = 0.0248; 7–9 times per annum: HR: 0.75, p = 0.0054; 10–12 times per annum: HR: 0.61, p < 0.0001). Considering the importance of raising self-managing diabetes skills, the findings can aid in determining the outcomes of the MCD program.
Highlights
In recent decades, diabetes has become a major health issue with an increasing trend worldwide [1].It is projected that 592 million people will have diabetes by 2035 [2]
We examined the association between management of chronic disease (MCD), which involves self-management education for chronic disease and hospitalization due to diabetes among type 2 diabetes patients in South Korea
We found that patients who received the MCD were less likely to experience hospitalization due to diabetes than those who did not receive the MCD within the first year of diabetes onset
Summary
Diabetes has become a major health issue with an increasing trend worldwide [1]. It is projected that 592 million people will have diabetes by 2035 [2]. A similar trend is observed in South. In 2011, approximately 4 million adults aged over 30 years had diabetes, which accounted for 1 in 8 adults in South Korea [3]. Including those who are at higher risk of developing diabetes due to impaired fasting glucose, this number has increased to almost 1 in 3 adults [3]. Res. Public Health 2018, 15, 2541; doi:10.3390/ijerph15112541 www.mdpi.com/journal/ijerph
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