Effects of having usual source of care on preventive services and chronic disease control: a systematic review. Kim MY, Kim JH, Choi IK, Hwang IH, Kim SY. National Health and Nutrition Examination Survey 1999-2004. Prevalence, treatment, and control of diagnosed diabetes in the U.S. Ong KL, Cheung BM, Wong LY, Wat NM, Tan KC, Lam KS. These results suggest that primary care capacity and infrastructure to support diabetes self-care need strengthening in MUAs.ĭiabetes medically underserved area multimorbidity primary care.

Qualitative findings support these conclusions. This study demonstrates that almost 1 in 5 ED complex diabetic patients in an MUA do not have a PCP, and that difficulty accessing primary care often results in patients forgoing needed care. Individual patient interviews (n = 9) and focus groups (n = 11) revealed common primary care and self-care experiences and needs including diabetes education, improved patient-provider communication, health-care access and coverage, and strengthened primary care and community.

Patients expressed strong interest in health coaching (88%) and receiving text messages from the doctor's office (73%). Only 83% of patients with diabetes and multimorbidity reported having a primary care provider (PCP) and those without a PCP were more likely to report delays in needed care. Over 91.5% were uncontrolled at some point in 2014 to 2015. This study assesses unmet primary care needs among diabetic patients in a medically underserved area (MUA).Ī suburb of Memphis-Whitehaven, Tennessee (Shelby County, ZIP codes 3816)-majority African American (96.6%) with 30.5% below the poverty level.Ĭommunity case study using multiple data sources including diabetes registry, individual interviews, focus groups, and a survey of 30 ED patients with diabetes and multimorbidity.ĭiabetes registry data indicated that 95.5% of 5723 diabetic patients had multimorbidity. Diabetic patients with multimorbidity in medically underserved minority communities are less engaged in primary care and experience high emergency department (ED) utilization.

Medically underserved areas by zip code