Care Management Medical Home Center Model

Health Promotion Practice - Tập 16 Số 4 - Trang 609-616 - 2015
Timothy F. Page1, St. Anthony Amofah2, Shelia McCann2, Julie Rivo3, Asha Varghese4, Terisa James2, Marc L. Rivo2, Mark L. Williams1
1Florida International University, Miami, FL USA
2Health Choice Network of Florida, Miami, FL, USA
3Duke University, Durham, NC, USA
4General Electric Foundation, Fairfield, CT, USA

Tóm tắt

This article presents preliminary findings of the impact of an innovative care management model for diabetic patients. The model was implemented by seven Federally Qualified Health Centers serving 10,000 diabetic patients in Miami-Dade County. A primary intervention of this model is a centralized care management team that makes previsit phone calls to diabetic patients who have scheduled appointments. These previsit phone calls optimize patient knowledge and self-management goals, and provide patient care coordinators with relevant clinical information to optimize the office visit and help to ensure completion of recommended diabetic preventive and chronic care services. Data suggest that following the implementation of this care management model, more diabetic patients are receiving regular care, and compliance with recommended tests and screenings has improved.

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Tài liệu tham khảo

10.1056/NEJMp1003729

10.2337/dc08-9017

10.2337/dc13-S011

10.2337/dc10-1671

10.1111/j.1748-0361.2005.tb00101.x

Centers for Disease Control and Prevention. (2011). National diabetes fact sheet: National estimates and general information on diabetes and prediabetes in the United States. Atlanta, GA: Author. Retrieved from http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf

10.1377/hlthaff.2009.0155

10.1097/01.hjr.0000368191.86614.5a

10.5694/j.1326-5377.2005.tb07085.x

10.1097/MLR.0b013e318192609d

10.2337/diacare.24.3.454

10.1353/hpu.2012.0145

Hashim M. J., 2001, Journal of the American Board of Family Practice, 14, 193

Haynes J. M., 2006, Respiratory Care, 51, 36

10.1111/j.1475-6773.2007.00734.x

International Diabetes Federation, 2012, IDF diabetes atlas: 2012 update, 5

10.1353/hpu.2012.0141

10.1370/afm.752

10.1089/dis.2008.111718

10.3399/bjgp09X472250

10.1192/apt.bp.106.003202

10.2337/diacare.25.11.1952

10.1016/j.amjmed.2009.11.022

10.1016/j.diabres.2009.10.007

10.1016/j.dsx.2006.11.012

10.1111/j.1752-9824.2010.01051.x

Thông tin
Thông tin xuất bản

Health Promotion Practice

Tập 16 Số 4

609-616

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