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

07:00 EST 13th February 2020 | BioPortfolio

Summary of "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 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.


Journal Details

This article was published in the following journal.

Name: Preventing chronic disease
ISSN: 1545-1151
Pages: E13


DeepDyve research library

PubMed Articles [50523 Associated PubMed Articles listed on BioPortfolio]

Clinic-Based Community Health Worker Integration: Community Health Workers', Employers', and Patients' Perceptions of Readiness.

Clinic-based community health workers (cCHWs) are a growing workforce who can facilitate medical and social support services, particularly for patients with complex, chronic conditions. We assessed CH...

Outpatient Pediatric Special Care. Developing health policies at the primary level of care.

In 1978, the World Health Organization defined primary health care as the cornerstone of global health. In recent years, the usual causes of mortality (infections, deficiency diseases) now include chr...

Factors Associated with Patient Satisfaction of Community Mental Health Services: A Multilevel Approach.

Community care is increasingly the mainstay of mental healthcare provision in many countries and patient satisfaction is an important barometer of quality of patient care. This paper explores the key ...

Making strides toward achieving the Triple Aim in the treatment of chronic low back pain with a biopsychosocial guided approach.

The Triple Aim is an effort to bring attention to improving the patient experience, improving population health and reducing healthcare costs. Chronic pain, particularly chronic low back pain, is a co...

Are Nonprofit Hospitals Addressing the Most Critical Community Health Needs That They Identify in Their Community Health Needs Assessments?

Virtually all nonprofit hospitals are in compliance with the Affordable Care Act's new Community Health Needs Assessments requirements.

Clinical Trials [26846 Associated Clinical Trials listed on BioPortfolio]

Community Models for Hypertension and Diabetes Care for Refugees

The project will investigate and improve a community health worker (CHW) based model for non-communicable disease (NCD) care in a humanitarian emergency.

Adapting the Bipolar Care Model for Chronic Care Management in Community-based Health Care Sites

This study will determine if a version of the bipolar care model adapted for a nonresearch audience can improve patient health and correct use of the model in community-based mental health...

Healing Through Education, Advocacy and Law (HEAL) in Response to Violence

This is a 3-year comparative effectiveness study funded by the Patient Centered Outcomes Research Institute (PCORI) and will test an adapted priority-based patient navigation versus care a...

Community Health Worker Care Transitions Study

This study focuses on pairing community health workers (CHWs) with patients that are high risk for readmission prior to hospital discharge in order to assess differences in hospital readmi...

Using Rapid Cycle Trials to Increase Patient Engagement in the Community Health Worker Program in the Emergency Department.

This study is evaluating the effectiveness of the post-discharge program facilitated by the Community Health Worker program in the Emergency Department at NYU Langone Health Hospital - Bro...

Medical and Biotech [MESH] Definitions

Purchasers are provided information on the quality of health care, including patient outcomes and health status, with data on the dollar outlays going towards health. The focus is on managing the use of the health care system to reduce inappropriate care and to identify and reward the best-performing providers. (from accessed 11/25/2011)

A multi- and interdisciplinary field concerned with improving health and achieving equity in health for all people. It transcends national boundaries, promotes cooperation and collaboration within and beyond health science fields, and combines population-based disease prevention with individually-based patient care.

Approach to improve the quality of care by selectively encouraging or discouraging the use of specific health care services, based on their potential benefit to patients' health, relative to their cost. One element is lowering beneficiary cost sharing or out-of-pocket spending to increase medication adherence.

Facilities which administer the delivery of health care services to people living in a community or neighborhood.

The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.

Quick Search

DeepDyve research library

Relevant Topic

Nephrology - kidney function
Nephrology is a specialty of medicine and pediatrics that concerns itself with the study of normal kidney function, kidney problems, the treatment of kidney problems and renal replacement therapy (dialysis and kidney transplantation). Systemic conditions...

Searches Linking to this Article