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.
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