Am J Public Health. 2024 Nov 21:e1-e5. doi: 10.2105/AJPH.2024.307886. Online ahead of print.
ABSTRACT
Chronic care management is effective. Barriers to program durability include dependence on the provider-nurse duo to carry out labor-intensive services and the lack of a fiscally sustainable model. Between January and October 2022, an expanded chronic care management team-consisting of a provider, nurse, community health worker, and pharmacist-conducted a four-month intervention in an ambulatory setting. This intervention, using a convenience sample of 134 Medicare patients with uncontrolled type 2 diabetes or hypertension, demonstrated statistically significant improvements in controlling type 2 diabetes (P < .01) and blood pressure (P < .001). Direct provider workload decreased, and the Medicare reimbursement rate was 85.5%. (Am J Public Health. Published online ahead of print November 21, 2024:e1-e5. https://doi.org/10.2105/AJPH.2024.307886).
PMID:39571131 | DOI:10.2105/AJPH.2024.307886
