TY  - JOUR
AU  - Crespo, Richard
AU  - Christiansen, Matthew
AU  - Tieman, Kim
AU  - Wittberg, Richard
PY  - 2020
TI  - An Emerging Model for Community Health Worker-Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E13
VL  - 17
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - Community health workers (CHWs) can improve patients' health by providing them with ongoing behavioral support during the health care experience, and they help decrease health care costs, especially among patients whose starting costs are high and among underserved and minority populations. We developed a CHW-based care model with the aim of improving outcomes and lowering costs for high-risk diabetes patients in rural Appalachia. Enrolled patients experienced a mean decrease in HbA1c of 2.4 percentage points, and 60% or more of patients with diabetes lowered their blood glucose between baseline and 6 to 12 months after enrollment. As health care providers and patients became familiar with this model of care management, enrollment in the program accelerated.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd17.190316
DO  - 10.5888/pcd17.190316
ER  - 
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