Substance Use Disorders and Diabetes Care

Lessons From New York Health Homes

Datos Bibliográficos

ID9103946
AutoresSarah Forthal (0000-0001-6599-2184, Department of Data Science, Partnership to End Addiction*, New York, NY, autor de correspondencia), Sugy Choi (0000-0002-5549-2861, Department of Data Science, Partnership to End Addiction*, New York, NY, autor de correspondencia), Rajeev Yerneni (Department of Data Science, Partnership to End Addiction*, New York, NY, autor de correspondencia), Zhongjie Zhang (0000-0002-9615-0518, Department of Data Science, Partnership to End Addiction*, New York, NY, autor de correspondencia), David S Siscovick (0000-0003-0461-175X, New York Academy of Medicine), David Siscovick (New York Academy of Medicine), Natalia Egorova (0000-0002-9244-2900, Icahn School of Medicine at Mount Sinai), Todor Mijanovich (Department of Applied Statistics, Social Science, and Humanities, NYU Steinhardt School of Culture, Education and Human Development), Victoria Mayer (0000-0001-9993-2745, Icahn School of Medicine at Mount Sinai), Charles J Neighbors (0000-0002-9163-8389, National Drug Addiction Center, autor de correspondencia), Charles Neighbors (Department of Data Science, Partnership to End Addiction*, New York, NY)
Año2021
Volumen59
Número10
Páginas881-887
Fecha de publicación2021-10-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001602
PMID34149016
OpenAlexW3175766880
IdiomaEN
Citas recibidas2
Referencias citadas27

BACKGROUND: Individuals that have both diabetes and substance use disorder (SUD) are more likely to have adverse health outcomes and are less likely to receive high quality diabetes care, compared with patients without coexisting SUD. Care management programs for patients with chronic diseases, such as diabetes and SUD, have been associated with improvements in the process and outcomes of care. OBJECTIVE: The aim was to assess the impact of having coexisting SUD on diabetes process of care metrics. RESEARCH DESIGN: Preintervention/postintervention triple difference analysis. SUBJECTS: Participants in the New York State Medicaid Health Home (NYS-HH) care management program who have diabetes and a propensity-matched comparison group of nonparticipants (N=37,260). MEASURES: Process of care metrics for patients with diabetes: an eye (retinal) exam, HbA1c test, medical attention (screening laboratory measurements) for nephropathy, and receiving all 3 in the past year. RESULTS: Before enrollment in NYS-HH, individuals with comorbid SUD had fewer claims for eye exams and HbA1c tests compared with those without comorbid SUD. Diabetes process of care improvements associated with NYS-HH enrollment were larger among those with comorbid SUD [eye exam: adjusted odds ratio (AOR)=1.08; 95% confidence interval (CI): 1.01-1.15]; HbA1c test: AOR=1.20 (95% CI: 1.11-1.29); medical attention for nephropathy: AOR=1.21 (95% CI: 1.12-1.31); all 3: AOR=1.09 (95% CI: 1.02-1.16). CONCLUSIONS: Individuals with both diabetes and SUD may benefit moderately more from care management than those without comorbid SUD. Individuals with both SUD and diabetes who are not enrolled in care management may be missing out on crucial diabetes care

Comorbidity · Confidence interval · Diabetes management · Diabetes mellitus · Family medicine · Health care · Medicaid · Odds ratio · Type 2 diabetes · Diabetes Management and Education · Internal Medicine · Medicine · Opioid Use Disorder Treatment · Substance Abuse Treatment and Outcomes