An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia

Community health workers (CHWs) can improve patients’ health by providing them with ongoing behavioral support during the health care experience, and they help decrease health care costs, especially among patients whose starting costs are high and among underserved and minority populations. We devel...

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Detalles Bibliográficos
Autores principales: Crespo, Richard, Christiansen, Matthew, Tieman, Kim, Wittberg, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2020
Materias:
Implementation Evaluation
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021460/
https://www.ncbi.nlm.nih.gov/pubmed/32053481
http://dx.doi.org/10.5888/pcd17.190316
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author Crespo, Richard
Christiansen, Matthew
Tieman, Kim
Wittberg, Richard
author_facet Crespo, Richard
Christiansen, Matthew
Tieman, Kim
Wittberg, Richard
author_sort Crespo, Richard
collection PubMed
description Community health workers (CHWs) can improve patients’ health by providing them with ongoing behavioral support during the health care experience, and they help decrease health care costs, especially among patients whose starting costs are high and among underserved and minority populations. We developed a CHW-based care model with the aim of improving outcomes and lowering costs for high-risk diabetes patients in rural Appalachia. Enrolled patients experienced a mean decrease in HbA(1c) of 2.4 percentage points, and 60% or more of patients with diabetes lowered their blood glucose between baseline and 6 to 12 months after enrollment. As health care providers and patients became familiar with this model of care management, enrollment in the program accelerated.
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spelling pubmed-70214602020-02-25 An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia Crespo, Richard Christiansen, Matthew Tieman, Kim Wittberg, Richard Prev Chronic Dis Implementation Evaluation Community health workers (CHWs) can improve patients’ health by providing them with ongoing behavioral support during the health care experience, and they help decrease health care costs, especially among patients whose starting costs are high and among underserved and minority populations. We developed a CHW-based care model with the aim of improving outcomes and lowering costs for high-risk diabetes patients in rural Appalachia. Enrolled patients experienced a mean decrease in HbA(1c) of 2.4 percentage points, and 60% or more of patients with diabetes lowered their blood glucose between baseline and 6 to 12 months after enrollment. As health care providers and patients became familiar with this model of care management, enrollment in the program accelerated. Centers for Disease Control and Prevention 2020-02-13 /pmc/articles/PMC7021460/ /pubmed/32053481 http://dx.doi.org/10.5888/pcd17.190316 Text en https://creativecommons.org/licenses/by/4.0/Preventing Chronic Disease is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Implementation Evaluation
Crespo, Richard
Christiansen, Matthew
Tieman, Kim
Wittberg, Richard
An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia
title An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia
title_full An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia
title_fullStr An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia
title_full_unstemmed An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia
title_short An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia
title_sort emerging model for community health worker–based chronic care management for patients with high health care costs in rural appalachia
topic Implementation Evaluation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021460/
https://www.ncbi.nlm.nih.gov/pubmed/32053481
http://dx.doi.org/10.5888/pcd17.190316
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