Care Guides Employing Nonclinical Laypersons to Help Primary Care Teams Manage Chronic Disease

被引：15

作者：

Adair, Richard ^{[1
]}

Christianson, Jon ^{[2
]}

Wholey, Douglas R. ^{[2
]}

White, Katie ^{[2
]}

Town, Robert ^{[2
]}

Lee, Suhna ^{[2
]}

Britt, Heather ^{[1
]}

Lund, Peter ^{[1
]}

Lukasewycz, Anya ^{[1
]}

Elumba, Deborah ^{[1
]}

机构：

[1] Allina Hosp & Clin, Minneapolis, MN 55407 USA

[2] Univ Minnesota, Sch Publ Hlth, Minneapolis, MN 55455 USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2012年 / 35卷 / 01期

关键词：

care guides; care management; chronic disease; community health workers; primary care;

D O I：

10.1097/JAC.0b013e31823b0fbe

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Lay persons ("care guides") without previous clinical experience were hired by a primary care clinic, trained for 2 weeks, and assigned to help 332 patients and their providers manage their diabetes, hypertension, and congestive heart failure. One year later, failure by these patients to meet nationally recommended guidelines was reduced by 28%, P < .001. Improvement was seen in tobacco usage, blood pressure control, pneumonia vaccination, low-density lipoprotein cholesterol levels, annual eye examinations, aspirin use, and microalbuminuria testing. Care guides served an average of 111 patients at an annual per patient cost of $392. Further testing of this model is warranted.

引用

收藏

页码：27 / 37

页数：11

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