Marshall University School of Medicine, 1600 Medical Center Dr, Huntington, WV 25701. Email:
Marshall University School of Medicine, Huntington, West Virginia.
Prev Chronic Dis. 2020 Feb 13;17:E13. doi: 10.5888/pcd17.190316.
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 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.
社区卫生工作者 (CHWs) 可以通过在医疗体验期间为患者提供持续的行为支持来改善患者的健康状况，同时还可以降低医疗保健成本，尤其是针对那些起始费用较高、服务不足和少数族裔的患者。我们开发了一种基于 CHW 的护理模式，旨在改善阿巴拉契亚农村地区高危糖尿病患者的预后并降低成本。入组患者的平均 HbA 下降了 2.4 个百分点，而且有 60%或更多的糖尿病患者在入组后 6 至 12 个月内降低了血糖。随着医疗保健提供者和患者逐渐熟悉这种护理管理模式，该计划的入组人数加速增加。
