Evidence map›Paper›PMID 41438308›Full record

ArticleClinical diabetes : a publication of the American Diabetes Association2025

Improving Medication Adherence and Medication Optimization With a Medicaid-Funded Statewide Diabetes Quality Improvement Project.

Elizabeth A Beverly, Anirudh Prabu, Joshua J Joseph, Douglas Einstadter, Jordan Fiegl, Thomas E Love, Katherine Jenkins, Allison Lorenz, Shah Jalal Uddin, Michael W Konstan and 4 more

Abstract read
In one paragraph

Article in Clinical diabetes : a publication of the American Diabetes Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Elizabeth A BeverlyOhio University Heritage College of Osteopathic Medicine, Athens, OH.ORCID https://orcid.org/0000-0002-6486-8234
Anirudh PrabuCase Western Reserve University, Cleveland, OH.
Joshua J JosephBetter Health Partnership, Cleveland, OH.
Douglas EinstadterCase Western Reserve University, Cleveland, OH.
Jordan FieglMetroHealth Medical Center, Cleveland, OH.
Thomas E LoveCase Western Reserve University, Cleveland, OH.
Katherine JenkinsThe Ohio Colleges of Medicine Government Resource Center, Columbus, OH.
Allison LorenzThe Ohio Colleges of Medicine Government Resource Center, Columbus, OH.
Shah Jalal UddinThe Ohio Colleges of Medicine Government Resource Center, Columbus, OH.
Michael W KonstanCase Western Reserve University, Cleveland, OH.
Mary S ApplegateOhio Department of Medicaid, Columbus, OH.
Shari D BolenCase Western Reserve University, Cleveland, OH.
Kathleen M DunganThe Ohio State University Wexner Medical Center, Columbus, OH.ORCID https://orcid.org/0000-0003-1289-1595
Diabetes Quality Improvement Collaborative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medication adherence is a barrier to achieving glycemic goals among Medicaid recipients with diabetes. The Diabetes Quality Improvement Program Collaborative recruited 19 primary care practices serving a high volume of Medicaid patients in Ohio with the goal of reducing the percentage of adults with type 2 diabetes with A1C >9.0% through a 1-year intervention. The mean medication possession ratio (MPR) improved from 71.6% during the pre-intervention period to 74.1% at year 1 post-intervention-a relative improvement of 3.4%. Factors associated with a lower MPR included younger age, identifying as non-Hispanic Black or Hispanic, and a pre-intervention A1C >9.0%. Although the initiative modestly improved medication adherence, addressing persistent disparities and expanding prescribing of therapies with cardiorenal benefits will be necessary to improve diabetes outcomes in the Medicaid population.

Identifiers

PMID41438308
PMCPMC12719341

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.