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Implementing Community-Based Diabetes Programs: The Scripps Whittier Diabetes Institute Experience

  • Health Care Delivery Systems in Diabetes (D Wexler, Section Editor)
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Abstract

Diabetes affects a large and growing segment of the US population. Ethnic and racial minorities are at disproportionate risk for diabetes, with Hispanics and non-Hispanic Blacks showing a near doubling of risk relative to non-Hispanic Whites. There is an urgent need to identify low cost, effective, and easily implementable primary and secondary prevention approaches, as well as tertiary strategies that delay disease progression, complications, and associated deterioration in function in patients with diabetes. The Chronic Care Model provides a well-accepted framework for improving diabetes and chronic disease care in the community and primary care medical home. A number of community-based diabetes programs have incorporated this model into their infrastructure. Diabetes programs must offer accessible information and support throughout the community and must be delivered in a format that is understood, regardless of literacy and socioeconomic status. This article will discuss several successful, culturally competent community-based programs and the key elements needed to implement the programs at a community or health system level. Health systems together with local communities can integrate the elements of community-based programs that are effective across the continuum of the care to enhance patient-centered outcomes, enable patient acceptability and ultimately lead to improved patient engagement and satisfaction.

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Acknowledgments

We wish to acknowledge NCRR 1U54RR025204‐01 and NCRR UL1 RR025774 for support of community engaged research at Scripps and this publication.

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Conflict of Interest

Athena Philis-Tsimikas declares that she has no conflict of interest. Linda C. Gallo declares that she 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.

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  1. Scripps Whittier Diabetes Institute, 10140 Campus Point Drive, Suite 200, San Diego, CA, 92121, USA

    Athena Philis-Tsimikas

  2. Department of Psychology, San Diego State University, 9245 Sky Park Court Suite 115, San Diego, CA, 92123, USA

    Linda C. Gallo

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  1. Athena Philis-Tsimikas
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Correspondence to Athena Philis-Tsimikas.

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This article is part of the Topical Collection on Health Care Delivery Systems in Diabetes

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Philis-Tsimikas, A., Gallo, L.C. Implementing Community-Based Diabetes Programs: The Scripps Whittier Diabetes Institute Experience. Curr Diab Rep 14, 462 (2014). https://doi.org/10.1007/s11892-013-0462-0

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