TY - JOUR
T1 - Care guides
T2 - Employing nonclinical laypersons to help primary care teams manage chronic disease
AU - Adair, Richard
AU - Christianson, Jon
AU - Wholey, Douglas R.
AU - White, Katie
AU - Town, Robert
AU - Lee, Suhna
AU - Britt, Heather
AU - Lund, Peter
AU - Lukasewycz, Anya
AU - Elumba, Deborah
PY - 2012/1
Y1 - 2012/1
N2 - 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.
AB - 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.
KW - care guides
KW - care management
KW - chronic disease
KW - community health workers
KW - primary care
UR - http://www.scopus.com/inward/record.url?scp=83655183145&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=83655183145&partnerID=8YFLogxK
U2 - 10.1097/JAC.0b013e31823b0fbe
DO - 10.1097/JAC.0b013e31823b0fbe
M3 - Article
C2 - 22156953
AN - SCOPUS:83655183145
SN - 0148-9917
VL - 35
SP - 27
EP - 37
JO - Journal of Ambulatory Care Management
JF - Journal of Ambulatory Care Management
IS - 1
ER -