![]() Loneliness and lack of transportation were also associated with increased ED visits. “Poor diet or food insecurity is associated with development of T2D, increased likelihood of complications, and increased acute care utilization events…in parallel, the physical and economic burdens of living with T2D may make it harder to afford, access, and prepare health-promoting foods,” the study authors wrote.įactors associated with lower diabetes medication adherence were loneliness, lack of transportation, and utility and housing insecurity. Food insecurity was consistently associated with facets of acute care utilization-which include emergency department (ED) visits, inpatient encounters, and avoidable hospitalizations-among beneficiaries. In 2019, investigators analyzed the self-reported HRSNs of 21,528 Medicare Advantage beneficiaries with T2D to analyze the relationship between HRSNs, T2D-related health care quality, and acute care utilization.Īmong Medicare Advantage beneficiaries with T2D, 56.9% had 1 HRSN, with financial strain (73.6%), food insecurity (47.5%), and poor housing quality (39.1%) being the most prevalent. The Centers for Medicare & Medicaid Services (CMS) recently created the self-reported Accountable Health Communities HRSN screening tool to assess factors of HRSNs (food insecurity, transportation, loneliness, financial strain, housing quality) because growing research supports self-reported HRSNs to understand patient health outcomes. Previous research demonstrates that adverse social determinants of health (SDOHs) impact the health outcomes of patients with T2D, and improving diabetes-related outcomes should focus on improving SDOHs however, investigators explain that data of SDOHs are not consistently accurate. More than 26% of people aged 65 years and older with T2D face social adversity, according to the study. ![]() “We found a high prevalence of HRSNs among beneficiaries with T2D and significant associations between individual HRSNs and measures of quality of care and health care utilization,” the study authors wrote in their analysis. ![]()
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