Applying the Chronic Care Model in a Free Clinic

Research output: Contribution to journalArticlepeer-review

Abstract

Uninsured patients with diabetes are less likely than insured patients to receive recommended care and access the appropriate chronic care management programs, resulting in poorer outcomes. A pilot program using the Chronic Care Model framework was implemented to determine its effectiveness in improving clinical and self-management outcomes of high-risk patients with diabetes attending a free clinic for the uninsured. A comparison of baseline and posttest findings showed a statistically significant reduction in hemoglobin A1c. Although not statistically significant, downward trends were observed in blood pressure, triglycerides, and low-density lipoprotein levels. All patients had documented self-management goals and reported high satisfaction with the program. These findings suggest that programs guided by the Chronic Care Model have the potential to improve clinical outcomes and self-management skills of uninsured patients with diabetes.

Original languageEnglish
Pages (from-to)e117-e121
JournalJournal for Nurse Practitioners
Volume16
Issue number8
DOIs
StatePublished - Sep 2020

Keywords

  • Chronic Care Model
  • chronic disease
  • diabetes
  • free clinics
  • uninsured

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