Characteristics of patients with diabetes who accept referrals for care management services
Introduction: Patients with chronic conditions can improve their health through participation in self-care programs. However, awareness of and enrollment in these programs are generally low. Objective: We sought to identify factors influencing patients’ receptiveness to a referral for programs and s...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2016-01-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/2050312115626431 |
| _version_ | 1818546142850318336 |
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| author | Bree Holtz Ann M Annis Wendy Morrish Jennifer Davis Burns Sarah L Krein |
| author_facet | Bree Holtz Ann M Annis Wendy Morrish Jennifer Davis Burns Sarah L Krein |
| author_sort | Bree Holtz |
| collection | DOAJ |
| description | Introduction: Patients with chronic conditions can improve their health through participation in self-care programs. However, awareness of and enrollment in these programs are generally low. Objective: We sought to identify factors influencing patients’ receptiveness to a referral for programs and services supporting chronic disease management. Methods: We analyzed data from 541 high-risk diabetic patients who completed an assessment between 2010 and 2013 from a computer-based, nurse-led Navigator referral program within a large primary care clinic. We compared patients who accepted a referral to those who declined. Results: A total of 318 patients (75%) accepted 583 referrals, of which 52% were for self-care programs. Patients who accepted a referral had more primary care visits in the previous year, were more likely to be enrolled in another program, expressed more interest in using the phone and family or friends for support, and were more likely to report recent pain than those who declined a referral. Discussion: Understanding what factors influence patients’ decisions to consider and participate in self-care programs has important implications for program design and development of strategies to connect patients to programs. This work informs outreach efforts to identify and engage patients who are likely to benefit from self-care activities. |
| first_indexed | 2024-12-12T07:49:11Z |
| format | Article |
| id | doaj.art-01d149a004ec4246af34551994082e3b |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-12-12T07:49:11Z |
| publishDate | 2016-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-01d149a004ec4246af34551994082e3b2022-12-22T00:32:29ZengSAGE PublishingSAGE Open Medicine2050-31212016-01-01410.1177/205031211562643110.1177_2050312115626431Characteristics of patients with diabetes who accept referrals for care management servicesBree Holtz0Ann M Annis1Wendy Morrish2Jennifer Davis Burns3Sarah L Krein4Departments of Advertising and Public Relations and Media and Information, Michigan State University, East Lansing, MI, USAVA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USADepartment of Ambulatory Care, VA Ann Arbor Healthcare System, Ann Arbor, MI, USAVA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USADepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USAIntroduction: Patients with chronic conditions can improve their health through participation in self-care programs. However, awareness of and enrollment in these programs are generally low. Objective: We sought to identify factors influencing patients’ receptiveness to a referral for programs and services supporting chronic disease management. Methods: We analyzed data from 541 high-risk diabetic patients who completed an assessment between 2010 and 2013 from a computer-based, nurse-led Navigator referral program within a large primary care clinic. We compared patients who accepted a referral to those who declined. Results: A total of 318 patients (75%) accepted 583 referrals, of which 52% were for self-care programs. Patients who accepted a referral had more primary care visits in the previous year, were more likely to be enrolled in another program, expressed more interest in using the phone and family or friends for support, and were more likely to report recent pain than those who declined a referral. Discussion: Understanding what factors influence patients’ decisions to consider and participate in self-care programs has important implications for program design and development of strategies to connect patients to programs. This work informs outreach efforts to identify and engage patients who are likely to benefit from self-care activities.https://doi.org/10.1177/2050312115626431 |
| spellingShingle | Bree Holtz Ann M Annis Wendy Morrish Jennifer Davis Burns Sarah L Krein Characteristics of patients with diabetes who accept referrals for care management services SAGE Open Medicine |
| title | Characteristics of patients with diabetes who accept referrals for care management services |
| title_full | Characteristics of patients with diabetes who accept referrals for care management services |
| title_fullStr | Characteristics of patients with diabetes who accept referrals for care management services |
| title_full_unstemmed | Characteristics of patients with diabetes who accept referrals for care management services |
| title_short | Characteristics of patients with diabetes who accept referrals for care management services |
| title_sort | characteristics of patients with diabetes who accept referrals for care management services |
| url | https://doi.org/10.1177/2050312115626431 |
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