The Use of Telephonic Case Management to Link a Special-Needs Population with a Primary Care Physician

This study underscores the need for diabetes educators and other health education professionals to be creative and flexible in delivering self-management education to patients in underserved settings. The complexity of diabetes care and the self-care responsibilities placed on the patient reinforce the need for a team approach such as that proposed in the medical home model and should include certified diabetes educators.

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“…Similar observations have been reported among patients living with serious mental illness and diabetes. 24…”

Section: Discussionmentioning

confidence: 99%

Diabetes Educators in Safety-Net Practices

et al. 2011

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“…Yet most studies examining the impact of navigation programs have been focused on those initiated in a clinical (emergency department or hospital-based) as opposed to community setting. [34][35][36][37][38] To our knowledge, few studies have examined how community-based navigation programs might improve access to primary care for low-income Latinos, a population with 1 of the lowest rates of primary care use in the country.…”

Section: Introductionmentioning

confidence: 99%

Community-Based Health Care Navigation's Impact on Access to Primary Care for Low-Income Latinos

et al. 2022

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Introduction: Despite the Affordable Care Act's insurance expansion, low-income Latinos are less likely to have a primary care provider compared with other racial/ethnic and income groups. We examined if community-based health care navigation could improve access to primary care in this population.Methods: We surveyed adult clients of a community-based navigation program serving predominantly low-income Latinos throughout Los Angeles County in 2019. We used multivariable logistic regression models, adjusting for sociodemographic characteristics, to calculate odds ratios for differences in access to primary care and barriers to care between clients who had experienced approximately 1 year of navigation services (intervention group) and clients who were just introduced to navigation (comparison group).Results: Clients in the intervention group were more likely to report having a primary care clinic than the comparison group (Adjusted Odds Ratio [aOR] 3.0, 95%CI: 1.7, 5.4). The intervention group was also significantly less likely to experience several barriers to care, such as not having insurance, not being able to pay for a visit, and not having transportation.Conclusions: Community-based navigation has the potential to reduce barriers and improve access to primary care for low-income Latinos. In addition to expanding insurance coverage, policymakers should invest in health care navigation to reduce disparities in primary care.

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“…16 In the next issue, our article themes will be infectious diseases in family medicine, screening, and more articles pertinent to the medical home.…”

Section: Practice Management For the Medical Homementioning

confidence: 99%

On Postpartum Depression, Hormonal Problems, and Practice Management for Medical Home Implementation

Bowman¹,

Neale²

2009

The Journal of the American Board of Family Medicine

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Within the constraints of the need for rapid dissemination of new data, we like publishing related articles together. This issue we have collected articles related to 3 topic areas: postpartum depression, hormonal problems in family medicine, and implementation of aspects of the medical home. In addition, from Dr. Pathman, a member of the JABFM Board of Editors, we have excellent information about the National Health Service Corps and its recent expansion, which will increase the availability of primary care for the underserved.

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The Use of Telephonic Case Management to Link a Special-Needs Population with a Primary Care Physician

Cited by 5 publications

References 4 publications

Diabetes Educators in Safety-Net Practices

Diabetes Educators in Safety-Net Practices

Community-Based Health Care Navigation's Impact on Access to Primary Care for Low-Income Latinos

On Postpartum Depression, Hormonal Problems, and Practice Management for Medical Home Implementation

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