Integrating community health representatives with health care systems: clinical outcomes among individuals with diabetes in Navajo Nation.

ABSTRACT:

Background

We studied the impact of Community Outreach and Patient Empowerment (COPE) intervention to support Community Health Representatives (CHR) on the clinical outcomes of patients living with diabetes in the Navajo Nation extending into the States of Arizona, Utah, and New Mexico. The COPE intervention integrated CHRs into healthcare teams by providing a structured approach to referrals and home visits.

Methods

We abstracted routine clinical data from the Indian Health Service's information system on individuals with diabetes mellitus seen at participating clinical sites from 2010 to 2014. We matched 173 COPE participants to 2880 patients with similar demographic and clinical characteristics who had not participated in COPE. We compared the changes in clinical outcomes

SUBMITTER: Trevisi L 

PROVIDER: S-EPMC6880375 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature