| The Impacts of "Growing Our Own"a Pilot Project to Address Health Disparities by Training Health Professionals to Become Certified Diabetes Educators in Safety net Practices: A Pilot Project to Address Health Disparities by Training Health Professionals to Become Certified Diabetes Educators in Safety Net Practices. | |
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MedLine Citation:
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PMID: 22146787 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: The purpose of the study was to examine the impact of incorporating certified diabetes educator trainees into medical practices on patient diabetes outcomes.METHODS: This was a mixed methods practice-based evaluation study undertaken in 2 primary care practices in high-poverty neighborhoods in Buffalo, New York. The evaluation entailed a physician-referred patient cohort with pre- and postanalysis of chart review data corresponding to the American Diabetes Association's diabetes indicators. Patient charts were reviewed at baseline and 12 months. A brief survey was administered to the providers and staff to ascertain the extent to which the certified diabetes educator trainees were perceived as useful as part of the medical practice team.RESULTS: Among 74 patients enrolled in diabetes classes, A1C levels decreased from a mean of 8.8% to 8.3%. Among a subset of patients (35%) with poorly controlled diabetes at baseline (A1C ≥ 9), there was a 15% decrease in A1C levels. Overall improvement in A1C was observed among 219 patients seen by a diabetes educator, in either a diabetes education class or a one-on-one visit.CONCLUSIONS: Results suggest that having a certified diabetes educator trainee as part of the primary care practice team may advance diabetes care, as evidenced by improvements in glucose control. Responses from providers and staff suggest that the certified diabetes educator trainees were well integrated into the practices and were perceived as instrumental in educating patients to better manage their diabetes. |
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Authors:
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Linda S Kahn; Laurene Tumiel-Berhalter; Rona D'Aniello; Andy Danzo; Chester H Fox; John Taylor; Shannon Holland; Kathryn Glaser; Vinod Patel; Myron Glick |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-6 |
Journal Detail:
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Title: The Diabetes educator Volume: - ISSN: 1554-6063 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-7 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7701401 Medline TA: Diabetes Educ Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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University at Buffalo. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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