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

  title={The impact of integrating medical assistants and community health workers on diabetes care management in community health centers},
  author={Hector P. Rodr{\'i}guez and Mark W. Friedberg and Arturo Vargas-Bustamante and Xiao Chen and Ana E. Martinez and Dylan H Roby},
  journal={BMC Health Services Research},
ObjectiveTo 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.Data sourcesClinical and administrative data (n = 6111) and patient surveys (n = 698) pre-intervention and post-intervention. Surveys (n = 285) and key informant interviews (n = 48) of CHC staff assessed barriers and… 

Impact of Community Health Worker Certification on Workforce and Service Delivery for Asthma and Other Selected Chronic Diseases

In the absence of evaluations of the relationship between certification and outcomes related to patients’ and families’ health, and dimensions of CHWs’ workforce development, the impact of CHW certification is more speculative than conclusive.

Primary care practice-based care management for chronically ill patients (PraCMan) in German healthcare: Outcome of a propensity-score matched cohort study

It was showed that the PraCMan intervention may be associated with a lower rate of hospital admissions and hospitalisation costs than usual care and its efficacy in preventing known complications of chronic diseases.

American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.

  • L. BlondeG. Umpierrez Sandra L. Weber
  • Medicine
    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
  • 2022

Artificial Intelligence and Primary Care Research: A Scoping Review

Research on AI for primary care is at an early stage of maturity, and more interdisciplinary research teams with end-user engagement and evaluation studies are needed.

JM-JABF200209 151..161

  • 2021

Participant engagement in a community health worker-delivered intervention and type 2 diabetes clinical outcomes: a quasiexperimental study in MexicanAmericans

Higher engagement in the CCM programme delivered by CHWs and coordinated with clinical care was associated with beneficial improvements in type 2 diabetes control, but both engagement groups showed strong improvements.



Comparing the implementation of team approaches for improving diabetes care in community health centers

This study suggests that a flexible approach to implementing health coaching is more important than fidelity to rigid models that do not allow for variable allocation of responsibilities across team members.

The effects of a nurse case manager and a community health worker team on diabetic control, emergency department visits, and hospitalizations among urban African Americans with type 2 diabetes mellitus: a randomized controlled trial.

These data suggest that a culturally tailored intervention conducted by an NCM/CHW team reduced ER visits in urban African Americans with type 2 DM.

Clinic Workload, the Quality of Staff Relationships and Diabetes Management in Community Health Centers Catering to Latino and Chinese Patients

Diabetes care process were more consistently provided in CHCs with high quality staff relations and more manageable clinic workload, but HbA1c, LDL cholesterol, and blood pressure outcomes were no different between clinics with high vs. low QSR and MCW.

Applying the Community Health Worker Model to Diabetes Management: Using Mixed Methods to Assess Implementation and Effectiveness

Research regarding application of the community health worker model in diabetes management is limited and consensus regarding the scope of the CHW’s role is lacking, so future studies should rigorously examine how best to integrate this promising model into chronic disease management.

Fidelity of implementation to a care team redesign and improved outcomes of diabetes care.

Fidelity of implementation (FOI) assessment can be useful for identifying low FOI to a redesign so that technical assistance and resources can be provided to improve team functioning and patient outcomes.

Implementing the Community Health Worker Model Within Diabetes Management

Analysis of methods of implementation of the community health worker (CHW) model within diabetes programs, as well as related challenges and lessons learned, may be useful to others as they apply the CHW model to diabetes management within their own communities.

Integrating community health workers within Patient Protection and Affordable Care Act implementation.

Different strategies for integrating CHW models within PPACA implementation through facilitated enrollment strategies, patient-centered medical homes, coordination and expansion of health information technology (HIT) efforts, and also discusses payment options for such integration are discussed.

Health coaching by medical assistants improves patients' chronic care experience.

Using medical assistants trained in health coaching significantly improved the quality of care that low-income patients with poorly controlled chronic disease reported receiving from their healthcare team.

The effectiveness of medical assistant health coaching for low-income patients with uncontrolled diabetes, hypertension, and hyperlipidemia: protocol for a randomized controlled trial and baseline characteristics of the study population

This randomized controlled trial will evaluate the effectiveness of clinic-based medical assistant health coaches to improve clinical outcomes and self-management skills among low-income patients with uncontrolled type 2 diabetes, hypertension, or hyperlipidemia.