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- Improving Diabetes Care and Outcomes on the South Side of Chicago
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Interventions to improve health outcomes among patients with diabetes, especially racial or ethnic minorities, must address the multiple factors that make this disease so pernicious. We describe an intervention on the South Side of Chicago—a largely low-income, African American community—that integrates the strengths of health systems, communities, and patients to reduce disparities in diabetes care and outcomes. We report preliminary findings, such as improved diabetes care and diabetes control, and discuss lessons learned to date. Our initiative neatly aligns with, and can inform the implementation of, the accountable care organization -- a delivery system reform in which groups of providers take responsibility for improving the health of a defined population. Racial and ethnic disparities in diabetes care and outcomes arise from multiple causes. These include differential access to high-quality health care, healthy food and opportunities for safe recreation; cultural traditions regarding cooking; beliefs about disease and self-management; distrust of medical providers; and socioeconomic status. Consequently, the solution must be multifactoral.
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Improving Diabetes Care and Outcomes on the South Side of Chicago. We aim to reduce widely documented disparities in diabetes, to increase awareness of.
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Submissions are now open for the Diabetes Cook Off. Click here to learn more and submit a recipe. Monica Peek, Tonya Roberson, and Dr. Marshall Chin visit the K. Center, site of a collaborative monthly free Food Pantry, with K. Executive Director Torrey Barrett. Join us each First Wednesday of the Month!
Improving Diabetes Care and Outcomes on the South Side of Chicago
Study record managers: refer to the Data Element Definitions if submitting registration or results information. This multifactorial intervention contains four overlapping core components reflecting key elements of the Chronic Care Model.
In particular, innovative, sustainable models to improve regional diabetes care are desperately needed that take into account the cultural, racial, organizational, and economic realities of the urban health setting. Previously the investigators have systematically identified gaps in the literature regarding effective interventions to reduce diabetes disparities. This proposal seeks to address these knowledge gaps in an innovative, sustainable way that can be replicated in other areas of the country. The primary goal is to test whether a multi-factorial intervention can improve the quality of care and outcomes of diabetes patients living in predominantly low- income African-American communities, through collaboration between community health centers, an academic medical center, and community-based organizations. The Specific Aims are: 1 To test the effectiveness of a collaborative model program implemented within six clinics on the South Side of Chicago on the quality of diabetes care and outcomes. This multi-factorial intervention incorporates culturally tailored patient activation, cultural competency and communication training for clinicians, and clinic redesign with patient advocates, a quality improvement collaborative, care management, and enhanced community partnerships.