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Scripps studies show community-based diabetes programs are key to lowered costs and improved care
Date:11/5/2012

ls to lead a multidisciplinary care team that provides clinical care and management for patients in federally qualified community health centers throughout San Diego County. The team also includes registered dietitians and medical assistants acting as health coaches.

Trained peer educatorsindividuals with diabetes who have successfully managed their own diseaseprovide education and support to participants. These peer educators, or "promotoras," hail from the patients' ethnic group and are able to help patients overcome cultural, social, and economic barriers.

"We have found that using promotoras versus standard care is a much more successful method of delivering self-management education. Patients show better glucose control and improved outcomes in their diet and exercise," said Dr. Philis-Tsimikas. "The value of the promotoras stems from their direct experience with the community and firsthand understanding of the myths, beliefs and cultural remedies that may interfere with adherence to health recommendations. This type of support and empathy is often difficult for professionally trained individuals from outside the community to provide."

Project Dulce Results

In multiple comparisons of total costs, the Project Dulce diabetes care management program was associated with improved objective and subjective outcomes, including improvements in health status and quality of life, such as a decreased incidence of diabetes-related complications and hospitalizations throughout a patient's lifetime. Project Dulce achieved these results across a broad range of insurers and government programs, and was especially cost-effective for under- and uninsured groups.

Whereas costs for pharmacy, diabetes-related supplies and disease management increased under Project Dulce, hospital and emergency department care costs declined. This decrease in hospital and acute-care costs was attributable to a reduced likelihood of admission rath
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Contact: Lisa Ohmstede
ohmstede.lisa@scrippshealth.org
858-626-7142
Scripps Health
Source:Eurekalert

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