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Project ECHO Diabetes Trial Improves Outcomes for Medically Underserved People.
Diabetes Care
December 2024
Stanford Diabetes Research Center, Stanford, CA.
Objective: The Project Extension for Community Healthcare Outcomes (ECHO) model is used in 180 countries to address chronic disease care through a provider empowerment, tele-education approach. Few studies have rigorously evaluated the impact of the program on patient outcomes using randomized designs.
Research Design And Methods: Implementation of an ECHO Diabetes program was evaluated using a stepped-wedge design with recruitment of 20 federally qualified health centers (FQHCs) across California and Florida with randomized, phased-in intervention entry.
The impact of insurance status on psoriasis patients' healthcare-seeking behavior: a population-based study in the United States.
BMC Health Serv Res
November 2024
Division of Dermatology, Department of Medicine, David Geffen School of Medicine at UCLA, 200 Medical Plaza, Los Angeles, CA, 90095, USA.
Background: Psoriasis is a chronic, inflammatory skin condition requiring long-term care. However, many psoriasis patients may not regularly receive care. Several factors affect access to care in the United States, including health insurance status.
View Article and Find Full Text PDFDelayed Healthcare Due to Cost Among Adults with Multimorbidity in the United States.
Healthcare (Basel)
November 2024
Department of Sociology and Criminology & Law, University of Florida, Gainesville, FL 32611, USA.
Background/objectives: Multimorbidity, defined as two or more chronic diseases co-occurring in an individual, has been linked to elevated healthcare utilization and out-of-pocket expenses. Yet, the barriers to healthcare access due to the health profile of multimorbid adults are underexplored. This study investigates the differences in delayed healthcare due to cost among adults with multimorbidity and those with one chronic disease condition.
View Article and Find Full Text PDFSeeking and receiving hypertension and diabetes mellitus care in Tanzania.
PLoS One
November 2024
Swiss Tropical and Public Health Institute, Allschwil, Switzerland.
The rapid increase in chronic non-communicable diseases (NCDs) poses a major challenge to already strained health systems in sub-Saharan Africa. This study investigates the factors associated with seeking and receiving NCD services in Tanzania, using a household survey and client exit interview data from Kilombero and Same districts. Both districts are predominantly rural, with one semi-urban area called Ifakara town and Same town.
View Article and Find Full Text PDFContinuity of Care and Lifestyle Intervention Programs for Spanish-Speaking Immigrants Without Health Insurance at a Free Clinic in Rhode Island.
Prev Chronic Dis
November 2024
Clinica Esperanza/Hope Clinic, Providence, Rhode Island.
Introduction: We conducted a retrospective cohort study to evaluate changes in metabolic biomarkers among participants in Bridging the [Health Equity] Gap (BTG), a free program run by Clínica Esperanza/Hope Clinic (CEHC) for Spanish-speaking immigrants without health insurance in Rhode Island.
Methods: From July 2019 through June 2021, 471 people volunteered to participate in the BTG program. Participants enrolled in lifestyle change classes and visited quarterly with health care providers.
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