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 language | English |
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Pages (from-to) | e117-e121 |
Journal | Journal for Nurse Practitioners |
Volume | 16 |
Issue number | 8 |
DOIs | |
State | Published - Sep 2020 |
Keywords
- Chronic Care Model
- chronic disease
- diabetes
- free clinics
- uninsured