Integrated Community-Healthcare Diabetes Interventions to Reduce Disparities
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Racial and ethnic minorities suffer disproportionately from diabetes-related morbidity and mortality. With the creation of Accountable Care Organizations (ACOs) under the Affordable Care Act, healthcare organizations may have an increased motivation to implement interventions that collaborate with community resources and organizations. As a result, there will be an increasing need for evidence-based strategies that integrate healthcare and community components to reduce diabetes disparities. This paper summarizes the types of community/health system partnerships that have been implemented over the past several years to improve minority health and reduce disparities among racial/ethnic minorities and describes the components that are most commonly integrated. In addition, we provide our recommendations for creating stronger healthcare and community partnerships through enhanced community support.
KeywordsDiabetes Disparities Integration Community Health systems Healthcare Quality improvement Patient education Culturally tailored Providers Care coordination Interventions
This research was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (Grant No. R18DK083946), the Chicago Center for Diabetes Translation Research (Grant No. P30 DK092949-01) and the Alliance to Reduce Disparities in Diabetes of the Merck Foundation. Monica Peek was supported by the Mentored Patient-Oriented Career Development Award of the NIDDK (Grant No. K23 DK075006) and the Robert Wood Johnson Foundation. Marshall Chin is supported by an NIDDK Midcareer Investigator Award in Patient-Oriented Research (Grant No. K24 DK071933).
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Conflict of Interest
Monica E. Peek declares that she has no conflict of interest. Molly Ferguson declares that she has no conflict of interest. Nyahne Bergeron declares that she has no conflict of interest. Debra Maltby declares that she has no conflict of interest. Marshall H. Chin declares that he has no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of outstanding importance
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