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The impact of integrating medical assistants and community health workers on diabetes care management in community health centers

dc.contributor.authorRodriguez, Hector P.
dc.contributor.authorFriedberg, Mark W.
dc.contributor.authorVargas-Bustamante, Arturo
dc.contributor.authorChen, Xiao
dc.contributor.authorMartinez, Ana E.
dc.contributor.authorRoby, Dylan H.
dc.date.accessioned2021-06-14T19:19:44Z
dc.date.available2021-06-14T19:19:44Z
dc.date.issued2018-11-20
dc.identifierhttps://doi.org/10.13016/xwfz-afow
dc.identifier.citationRodriguez, H.P., Friedberg, M.W., Vargas-Bustamante, A. et al. The impact of integrating medical assistants and community health workers on diabetes care management in community health centers. BMC Health Serv Res 18, 875 (2018).en_US
dc.identifier.urihttp://hdl.handle.net/1903/27160
dc.description.abstractTo compare the impact of implementing team-based diabetes care management involving community health workers (CHWs) vs. medical assistants (MA) in community health centers (CHCs) on diabetes care processes, intermediate outcomes, and patients’ experiences of chronic care. Patients in the CHW intervention arm had improved annual glycated hemoglobin testing (18.5%, p < 0.001), while patients in the MA intervention arm had improved low-density lipoprotein cholesterol control (8.4%, p < 0.05) and reported better chronic care experiences over time (β=7.5, p < 0.001). Except for chronic care experiences (p < 0.05) for patients in the MA intervention group, difference-in-difference estimates were not statistically significant because control group patients also improved over time. Some diabetes care processes improved significantly more for control group patients than intervention group patients. Key informant interviews revealed that immediate patient care issues sometimes crowded out diabetes care management activities, especially for MAs. Diabetes care improved in CHCs integrating CHWs and MAs onto primary care teams, but the improvements were no different than improvements observed among matched control group patients. Greater improvement using CHW and MA team-based approaches may be possible if practice leaders minimize use of these personnel to cover shortages that often arise in busy primary care practices.en_US
dc.description.urihttps://doi.org/10.1186/s12913-018-3710-9
dc.language.isoen_USen_US
dc.publisherSpringer Natureen_US
dc.subjectCommunity health centersen_US
dc.subjectMedical assistantsen_US
dc.subjectCommunity health workersen_US
dc.subjectDiabetes care managementen_US
dc.subjectImplementation researchen_US
dc.subjectPatients’ experiencesen_US
dc.titleThe impact of integrating medical assistants and community health workers on diabetes care management in community health centersen_US
dc.typeArticleen_US
dc.relation.isAvailableAtHealth Services Administration
dc.relation.isAvailableAtSchool of Public Health
dc.relation.isAvailableAtDigital Repository at the University of Maryland (DRUM)
dc.relation.isAvailableAtUniversity of Maryland (College Park, MD)


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