| Autor: |
Montgomery AH; Baylor Scott and White Health and Wellness Center, Dallas, TX, USA., Best LR; Baylor Scott and White Health and Wellness Center, Dallas, TX, USA., Kitzman H; Baylor Scott and White Health and Wellness Center, Dallas, TX, USA.; Robbins Institute for Health Policy and Leadership, Baylor University, Waco, TX, USA., Khan M; Baylor Scott and White Health and Wellness Center, Dallas, TX, USA., Mamun A; Baylor Scott and White Health and Wellness Center, Dallas, TX, USA., Aguillon A; Baylor Scott and White Health and Wellness Center, Dallas, TX, USA., Granberry K; Baylor Scott and White Health and Wellness Center, Dallas, TX, USA. |
| Abstrakt: |
The Comprehensive Care Initiative (CCI) utilized a quasi-experimental design to evaluate the effects of same room, multi-provider primary care visits on the management of type 2 diabetes (T2D). Patients with T2D were invited to enroll in CCI if they had T2D with glycated hemoglobin (HbA1c) >8.0% or T2D with BMI >30. CCI intervention included delivery of comprehensive same room multi-provider visits with a primary care physician, community health worker, pharmacist, dietitian, medical assistant, and licensed social worker at the same appointment. CCI patients were compared with a propensity score matched control group receiving usual care (n = 56, 50 ± 11 years old, 77% female, 41% African American, 95% uninsured). After 6 months, the adjusted average reduction in HbA1c in the CCI group was 0.97% (SE = 0.45) in comparison to 0.05% (SE = 0.20) in the control group ( P = .04). This pilot study showed promising results in lowering HbA1c in an uninsured, ethnic minority population of T2D patients through delivery of comprehensive multi-provider primary care visits. |
