Diabetes Health Information Technology Innovation to Improve Quality of Life for Health Plan Members in Urban Safety Net

被引:17
|
作者
Ratanawongsa, Neda [1 ]
Handley, Margaret A. [1 ,2 ]
Sarkar, Urmimala [1 ]
Quan, Judy [1 ]
Pfeifer, Kelly [3 ]
Soria, Catalina [1 ]
Schillinger, Dean [1 ,4 ]
机构
[1] Univ Calif San Francisco, San Francisco Gen Hosp & Trauma Ctr, Gen Internal Med & UCSF Ctr Vulnerable Populat, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Dept Epidemiol & Biostat, Div Prevent Med & Publ Hlth, San Francisco, CA 94143 USA
[3] San Francisco Hlth Plan, San Francisco, CA USA
[4] Calif Dept Publ Hlth, Calif Diabet Program, Sacramento, CA USA
来源
JOURNAL OF AMBULATORY CARE MANAGEMENT | 2014年 / 37卷 / 02期
基金
美国医疗保健研究与质量局;
关键词
chronic disease; diabetes; health care disparities; health information technology; health literacy; limited English proficiency; practice-based research network; self-care;
D O I
10.1097/JAC.0000000000000019
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Safety net systems need innovative diabetes self-management programs for linguistically diverse patients. A low-income government-sponsored managed care plan implemented a 27-week automated telephone self-management support/health coaching intervention for English-, Spanish-, and Cantonese-speaking members from 4 publicly funded clinics in a practicebased research network. Compared to waitlist, immediate intervention participants had greater 6-month improvements in overall diabetes self-care behaviors (standardized effect size [ES] = 0.29, P <.01) and 12-Item Short Form Health Survey physical scores (ES = 0.25, P =.03); changes in patient-centered processes of care and cardiometabolic outcomes did not differ. Automated telephone self-management is a strategy for improving patient-reported self-management and may also improve some outcomes.
引用
收藏
页码:127 / 137
页数:11
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