LA JOLLA, Calif. New findings from a 15-year series of studies led by care providers at Scripps Whittier Diabetes Institute reveal that culturally tailored community-created programs are effective at reducing health-related costs and delivering higher quality care.
Results from "Community-Created Programs: Can They Be the Basis of Innovative Transformations in Our Health Care Practice?" were published in the fall issue of Clinical Diabetes, and also posted on its website. The journal article discusses the results of a series of studies involving approximately 18,000 patients who were involved in Project Dulce, a culturally appropriate, clinically sound and cost-effective care model for managing diabetes.
"Since its inception 15 years ago, we have found that the Project Dulce model has demonstrated positive effects on physiological, behavioral and cost-effectiveness outcomes," said Athena Philis-Tsimikas, MD, lead author and corporate vice president, Scripps Whittier Diabetes Institute. "As the United States continues to seek methods to deliver higher quality medical care at lower costs, the concepts tested with Project Dulce in a real-world environment may prove particularly valuable."
Project Dulce Model
Project Dulce was developed in 1997 as part of a collaborative effort in San Diego County to improve the health and access to health care of under-served, ethnically diverse people with diabetes. Program partners include the Scripps Whittier Diabetes Institute, the County of San Diego, Community Health Centers and San Diego State University.
Since its inception, Project Dulce has enrolled and treated more than 18,000 patients 65 percent of whom are of Latino/Hispanic descent in 15 locations in San Diego.
The Project Dulce model uses a patient registry to identify and stratify patients with diabetes by risk. Trained diabetes registered nurses follow evidence-based care management protoco
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