文章基本信息

标题：An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia
本地全文：下载
作者：Richard Crespo ; Matthew Christiansen ; Kim Tieman 等
期刊名称：Preventing Chronic Disease
印刷版ISSN：1545-1151
出版年度：2020
卷号：17
页码：1-8
DOI：10.5888/pcd17.190316
出版社：Centers for Disease Control and Prevention
摘要：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.