DOWNLOAD ~ Code: Community Diabetes Education for Uninsured Mexican Americans (Clinical Report) * by Baylor University Medical Center Proceedings ~ Book PDF Kindle ePub Free
eBook details
- Title: Code: Community Diabetes Education for Uninsured Mexican Americans (Clinical Report)
- Author : Baylor University Medical Center Proceedings
- Release Date : January 01, 2007
- Genre: Health & Fitness,Books,Health, Mind & Body,
- Pages : * pages
- Size : 230 KB
Description
Low-cost diabetes education programs that target Mexican Americans are essential to reduce the observed health disparities in this population. A culturally appropriate intervention was developed as the centerpiece of the Community Diabetes Education (CoDE) program. This article describes the structure, patient acceptance, and costs of this one-to-one educational model delivered in 7 patient contact hours by a community health worker over 12 months in a community clinic serving the uninsured. A total of 162 patients--predominantly female, Spanish-speaking Mexican American patients with type 2 diabetes of mean duration of 6.5 years--enrolled in the program, and a dropout rate of 22% was observed during the 12-month period. Preliminary analysis indicated that program capacity was 120 patients per month, and the annual direct medical expenditure per CoDE participant was $461. The hemoglobin [A.sub.1c] was significantly reduced in patients who participated in the program for 12 months. Sustainable, low-cost, community-based programs like CoDE and long-term patient participation will help reduce the burden of diabetes in the underserved Hispanic population. **********
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