Effects of Diabetes Quality Assessment on Diabetes Management Behaviors Based on a Nationwide Survey

Chang Kyun Choi, Jungho Yang, Ji-An Jeong and Min-Ho Shin ()
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Chang Kyun Choi: Institute for Biomedical Science, Chonnam National University Hwasun Hospital, Jeollanam-do 58128, Republic of Korea
Jungho Yang: Department of Preventive Medicine, Chonnam National University Medical School, 264 Seoyang-ro, Jeollanam-do 58128, Republic of Korea
Ji-An Jeong: Department of Preventive Medicine, Chonnam National University Medical School, 264 Seoyang-ro, Jeollanam-do 58128, Republic of Korea
Min-Ho Shin: Department of Preventive Medicine, Chonnam National University Medical School, 264 Seoyang-ro, Jeollanam-do 58128, Republic of Korea

IJERPH, 2022, vol. 19, issue 23, 1-11

Abstract: Improved diabetes management in primary care is essential for reducing the public health burden of diabetes, and various programs are being implemented in Korea for this purpose. Although the Health Insurance Review and Assessment (HIRA) evaluates the quality of type 2 diabetes management in primary care clinics and hospitals, it is unclear whether the implementation of these evaluations is related to the adequate management of complications in diabetic patients. We evaluated the association between the proportion of clinics managing diabetes well and lifestyles and uptake of screening for complications in 24,620 diabetic participants of the 2019 Korean Community Health Survey (KCHS). Multivariate multilevel logistic regression was performed to evaluate the fixed effect of the district-level variable and the heterogeneity among districts. The proportion of clinics with good diabetes management per 10,000 inhabitants was positively related to screening for diabetes complications. Furthermore, this district variable was significantly related to engaging in walking activity (Odds ratio: 1.39, 95% CI: 1.10–1.76) and sufficiently explained the heterogeneity among districts. However, current smoking and weight control were not associated with the proportion of clinics with good diabetes management. The financial incentives to primary care clinics would improve the primary prevention of diabetic complications.

Keywords: diabetes complication; health survey; cross-sectional studies; health care quality assessment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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