| EXCEED Pilot Project 1 |
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| Implementing Successful Managed Care Models of Healthcare Delivery
in a Medically Underserved African American Patient Population with Type 2 Diabetes |
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Despite extensive research and evaluation of numerous programs,
the control of type 2 diabetes remains a major health issue for
African Americans. Managed care organizations have adopted models
of care ranging from trained patient led classes to group outpatient
provider visits which have proven successful in the management of patients
with chronic illnesses.
The focus of this project is to evaluate the
acceptability and response of both providers (physicians) and low income
medically underserved African American patients with type 2 diabetes in
South Carolina to these models. Neither providers nor patients are
generally delivering or receiving health care in managed care organizations.
We will use focus groups and, ultimately, assess the provider (group visits)
and patient participation in these models through a pilot study.
Patient
and provider acceptance and patients’ glycemic control will be analyzed
upon completion of the pilot and, if the model(s) are found acceptable and
successful, a proposal for expansion to a randomized trial in this patient
population will be submitted to a foundation or the NIH.
If the model(s)
are found to be unacceptable and/or unsuccessful, a proposal for a randomized
trial to study an adapted version of the model(s), based on barriers
discovered during the pilot, will be developed.
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