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Open Access 30-08-2022 | Care | Psychosocial Aspects (J Pierce, Section Editor)

Social Care Recommendations in National Diabetes Treatment Guidelines

Authors: Benjamin Aceves, Rose Gunn, Maura Pisciotta, Na’amah Razon, Erika Cottrell, Danielle Hessler, Rachel Gold, Laura M. Gottlieb

Published in: Current Diabetes Reports | Issue 10/2022

Abstract

Purpose of Review

An expanding body of research documents associations between socioeconomic circumstances and health outcomes, which has led health care institutions to invest in new activities to identify and address patients’ social circumstances in the context of care delivery. Despite growing national investment in these “social care” initiatives, the extent to which social care activities are routinely incorporated into care for patients with type II diabetes mellitus (T2D), specifically, is unknown. We conducted a scoping review of existing T2D treatment and management guidelines to explore whether and how these guidelines incorporate recommendations that reflect social care practice categories.

Recent Findings

We applied search terms to locate all T2D treatment and management guidelines for adults published in the US from 1977 to 2021. The search captured 158 national guidelines. We subsequently applied the National Academies of Science, Engineering, and Medicine framework to search each guideline for recommendations related to five social care activities: Awareness, Adjustment, Assistance, Advocacy, and Alignment. The majority of guidelines (122; 77%) did not recommend any social care activities. The remainder (36; 23%) referred to one or more social care activities. In the guidelines that referred to at least one type of social care activity, adjustments to medical treatment based on social risk were most common [34/36 (94%)].

Summary

Recommended adjustments included decreasing medication costs to accommodate financial strain, changing literacy level or language of handouts, and providing virtual visits to accommodate transportation insecurity. Ensuring that practice guidelines more consistently reflect social care best practices may improve outcomes for patients living with T2D.

Available only for authorised users

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Title: Social Care Recommendations in National Diabetes Treatment Guidelines
Authors: Benjamin Aceves
Rose Gunn
Maura Pisciotta
Na’amah Razon
Erika Cottrell
Danielle Hessler
Rachel Gold
Laura M. Gottlieb
Publication date: 30-08-2022
Publisher: Springer US
Keyword: Care
Published in: Current Diabetes Reports / Issue 10/2022
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI: https://doi.org/10.1007/s11892-022-01490-z

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Social Care Recommendations in National Diabetes Treatment Guidelines

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