Overcoming social and cultural barriers to care for patients with diabetes.
We attempted to develop a culturally sensitive alternative approach to diabetes management in a multiethnic, socially disadvantaged community (Waianae, Hawaii). The aims of this 3.5-year demonstration project were to establish regular community-based medical contact with diabetic patients who had a history of nonadherence to treatment regimens and to determine whether this strategy would lead to better health care (particularly improved self-management) in these patients. This community-based, culturally sensitive outreach system of medical follow up dramatically improved the amount and quality of medical care provided to this high-risk subpopulation of patients with diabetes.
Humphry
J
J
Waianae Coast Comprehensive Health Center, Hawaii, USA.
Jameson
L M
LM
Beckham
S
S
D000293:Adolescent; D000328:Adult; D003153:Community Health Services / Q000458:organization & administration*; D003466:Cultural Characteristics; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D006254:Hawaii; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010349:Patient Compliance; D017060:Patient Satisfaction; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000628:therapy; D016730:Program Development; D012959:Socioeconomic Factors