Home health care may improve diabetic outcomes among non-English speaking patients in primary care practice: a pilot study.
There are multiple challenges to proactive diabetic management in minority, non-English speaking populations. In this study, we seek to determine if enrollment in a home health care program would improve diabetic outcomes in this traditionally vulnerable population. Of the 64 non-English speaking diabetics evaluated in our clinic between 1/1/2002 and 12/30/2005, 26 (40.6%) patients who met the criteria for poor glycemic control (defined by HgbA1c > 8% on two separate occasions) were identified, but three were excluded because they did not participate in home health. Comparing diabetic outcomes 24 months post-home health intervention to 24 months prior, patients showed improvement in mean HbA1c, mean LDL, and mean systolic blood pressure. With home health intervention, there appears to be improved diabetic outcomes across all measured parameters.
Division of Primary Care Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA. nguyen.douglas@mayo.edu
Douglas L
DL
Nguyen
Ramona S
RS
DeJesus
D000368:Aged; D000369:Aged, 80 and over; D003920:Diabetes Mellitus; D005260:Female; D006699:Home Care Services; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011320:Primary Health Care; D014481:United States
J Ambul Care Manage. 1984 Aug;7(3):32-41
10266980
Diabetes Care. 2002 Jul;25(7):1159-71
12087014
Ethn Dis. 2007 Winter;17(1):65-71
17274212
Diabetes Educ. 2003 May-Jun;29(3):488-501
12854339
Diabetes Care. 2010 Jan;33 Suppl 1:S11-61
20042772
Med Care. 2004 Feb;42(2 Suppl):II34-9
14734940
Diabetes Metab Res Rev. 2010 Sep;26(6):421-32
20641140
Ethn Dis. 2008 Spring;18(2):136-40
18507263