Article ; Online: Telephone or Visit-Based Community Health Worker Care Management for Uncontrolled Diabetes Mellitus: A Longitudinal Study.
2020 Volume 45, Issue 6, Page(s) 1123–1131
Abstract: ... of contact and outcomes has had limited study. Low-income Hispanic primary care patients with hemoglobin A1c ... HbA1c] ≥ 9% received care managment (CM) over 6 months classified as: (CM1) telephone only; (CM2 ... Community health workers (CHWs) can reduce health disparities for low income patients but type ...
| Abstract | Community health workers (CHWs) can reduce health disparities for low income patients but type of contact and outcomes has had limited study. Low-income Hispanic primary care patients with hemoglobin A1c [HbA1c] ≥ 9% received care managment (CM) over 6 months classified as: (CM1) telephone only; (CM2) clinic visit but no calls; (CM3) clinic visit with calls; and (CM4) ≥ 2 visits ± calls. Type of CM delivery and time to DM control (HbA1c < 9%) examined in Cox proportional hazards model and more rapid control within 6 months using logistic regression. Models adjusted for demographics, clinical, and health care variables. At baseline, 523 patients had mean HbA1c 10.9% (SD = 1.7%), mean age 57.9 years (SD = 10), 58.5% women, 87.6% Hispanic, and 55.5% uninsured. CM types for patients: 51 (9.8%) CM1; 192 (36.7%) CM2; 44 (8.4%) CM3; and 236 (45.4%) CM4. Median time to HbA1c control was 197 days (95% CI [71, 548]) and 41.5% achieved control within 6 months. Compared with CM1, control was more rapid for CM2 (Hazard ratio [HR] 1.45, 95% CI [1.01, 2.09], p = 0.043) and CM4 but not significant (HR [95% CI] 1.29 [0.91, 1.83], p = 0.15). Adjusted odds of more rapid control within 6 months were twofold higher for CM2 (p = 0.04) and CM4 (p = 0.055), respectively, versus CM1. CM2 did not differ from CM1. DM control was less likely for CM by telephone only than face-to-face in clinic. To benefit vulnerable patients with uncontrolled DM, in-person engagement may be required. |
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| MeSH term(s) | Aged ; Ambulatory Care ; Community Health Workers/organization & administration ; Delivery of Health Care ; Diabetes Mellitus, Type 2 ; Female ; Glycated Hemoglobin A/analysis ; Hispanic Americans ; Humans ; Logistic Models ; Longitudinal Studies ; Male ; Medically Uninsured ; Middle Aged ; Primary Health Care ; Telephone | |||||
| Chemical Substances | Glycated Hemoglobin A | |||||
| Keywords | covid19 | |||||
| Language | English | |||||
| Publishing date | 2020-05-26 | |||||
| Publishing country | Netherlands | |||||
| Document type | Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. | |||||
| ZDB-ID | 426631-6 | |||||
| ISSN | 1573-3610 ; 0094-5145 | |||||
| ISSN (online) | 1573-3610 | |||||
| ISSN | 0094-5145 | |||||
| DOI | 10.1007/s10900-020-00849-1 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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