Table 3.

Description of Social Needs and Outcome Measures in Population

Need CharacteristicsN (%)
Individual needs identified on MTHA
 Financial strain187 (9.6%)
 Food insecurity95 (4.9%)
 Housing instability61 (3.1%)
 Social isolation605 (31.0%)
 Transportation needs131 (6.7%)
Number of needs identified on MTHA
 01,174 (60.1%)
 1580 (29.7%)
 2132 (6.8%)
 3+68 (3.5%)
 Total needs (mean ± SD)0.6 ± 0.8
Outcome Measures (1-year post Index Date)N (%)
HbA1c < 8%1,578 (80.8%)
Any DM-specific ED utilization456 (23.3%)
Any DM-specific Hospital admissions224 (11.5%)
  • Abbreviations: MTHA, Medicare Total Health Assessment; ED, emergency department; DM, Diabetes Mellitus.