{Reference Type}: English Abstract
{Title}: [Determinants of avoidable hospitalization for type2 diabetes. Narrative review].
{Author}: Hoyos-Loya E;González-Robledo MC;Gutiérrez JP;
{Journal}: Aten Primaria
{Volume}: 56
{Issue}: 11
{Year}: 2024 Jul 22
{Factor}: 2.206
{DOI}: 10.1016/j.aprim.2024.103051
{Abstract}: <B>OBJECTIVE: </B>To identify the structural and intermediate determinants associated with avoidable hospitalizations (AH) of patients with type2 diabetes mellitus (T2DM).<BR><B>METHODS: </B>Literature review based on narrative synthesis.<BR><B>METHODS: </B>Databases: PubMed, Science Direct, and Latin American and Caribbean Literature in Health Sciences (LILACS).<BR><B>METHODS: </B>Documents were selected and analyzed under a critical literature review, considering inclusion and exclusion criteria.<BR><B>METHODS: </B>Information extracted from each selected article was synthesized based on the countries' income levels and the social determinants of health framework.<BR><B>RESULTS: </B>A total of 4,166 articles were relevant, 36 were selected for review. From this selection, 21 were publications conducted in high-income countries, 14 in upper-middle-income countries, and one in lower-middle-income countries. The review identified that the coverage of health services -mainly primary health care- and health insurance contribute to reducing the risk of AH for T2DM, while social inequalities tend to increase the risk.<BR><B>CONCLUSIONS: </B>The AH due to T2DM are susceptible to reduction through policies that contribute to increasing effective access to health services (availability, insurance), since they express social inequality, occurring to a greater extent in socioeconomically vulnerable populations. This review also provides evidence of the need to expand research on this topic in middle and low-income countries.