Cross-site evaluation of the Alliance to Reduce Disparities in Diabetes: clinical and patient-reported outcomes.
Health Promot Pract
; 15(2 Suppl): 92S-102S, 2014 Nov.
Article
en En
| MEDLINE
| ID: mdl-25359255
ABSTRACT
Alliance programs implemented multilevel, multicomponent programs inspired by the chronic care model and aimed at reducing health and health care disparities for program participants. A unique characteristic of the Alliance programs is that they did not use a fixed implementation strategy common to programs using the chronic care model but instead focused on strategies that met local community needs. Using data provided by the five programs involved in the Alliance, this evaluation shows that of the 1,827 participants for which baseline and follow-up data were available, the program participants experienced significant decreases in hemoglobin A1c and blood pressure compared with a comparison group. A significant time by study group interaction was observed for hemoglobin A1c as well. Over time, more program participants met quality indicators for hemoglobin A1c and blood pressure. Those participants who attended self-management classes and experienced more resources and support for self-management attained more benefit. In addition, program participants experienced more diabetes competence, increased quality of life, and improvements in diabetes self-care behaviors. The cost-effectiveness of programs ranged from $23,161 to $61,011 per quality-adjusted life year. In sum, the Alliance programs reduced disparities and health care disparities for program participants.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
/
2_ODS3
Problema de salud:
1_acesso_equitativo_servicos
/
1_doencas_nao_transmissiveis
/
2_cobertura_universal
/
2_muertes_prematuras_enfermedades_notrasmisibles
Asunto principal:
Evaluación de Programas y Proyectos de Salud
/
Conducta Cooperativa
/
Diabetes Mellitus Tipo 2
/
Disparidades en Atención de Salud
Tipo de estudio:
Evaluation_studies
/
Prognostic_studies
Aspecto:
Determinantes_sociais_saude
/
Patient_preference
Límite:
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Health Promot Pract
Asunto de la revista:
SAUDE PUBLICA
Año:
2014
Tipo del documento:
Article
País de afiliación:
Estados Unidos