Management of Chronic Disease and Hospitalization Due to Diabetes among Type 2 Diabetes Patients in Korea: Using the National Sample Cohort Data 2002⁻2013

Sang Ah Lee, Woorim Kim, Sarah Soyeon Oh, Jieun Yang, Jieun Jang, Eun Cheol Park

Research output: Contribution to journalArticle

Abstract

To prevent negative outcomes for diabetes patients, developing self-management skills is imperative. This study aimed to examine the association between management of chronic disease (MCD), which mainly involves educating patients about their chronic diseases for obtaining self-management skills and hospitalization due to diabetes among type 2 diabetes patients in Korea. Korean National Health Insurance Service National Sample Cohort data from 2002 to 2013 were used. A total of 54,031 type 2 diabetes patients were included in the study. If patients received the MCD within 1 year from the onset of diabetes, we categorized them as "MCD received patients" We reclassified these groups into five groups: "non-receiving", "1⁻3 times", "4⁻6 times", "7⁻9 times" and "10⁻12 times" The dependent variable of this study was hospitalization due to diabetes. Cox proportional hazard regression was used. Of the patients, 86.2% (n = 46,571) did not received the MCD within the 1 year from the onset of diabetes. The number of MCDs received increased and the hazard ratio (HR) for hospitalization due to diabetes decreased; particularly, patients who received MCD 10⁻12 times per annum showed the lowest HR for hospitalization due to diabetes compared to patients in the MCD non-received group (1⁻3 times per annum: HR: 0.81, p = 0.0001; 4⁻6 times per annum: HR: 0.82, p = 0.0248; 7⁻9 times per annum: HR: 0.75, p = 0.0054; 10⁻12 times per annum: HR: 0.61, p < 0.0001). Considering the importance of raising self-managing diabetes skills, the findings can aid in determining the outcomes of the MCD program.

Original languageEnglish
JournalInternational journal of environmental research and public health
Volume15
Issue number11
DOIs
Publication statusPublished - 2018 Nov 13

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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