Diabetes Management in Community Health Centers: a Review of Policies and Programs

A. Taylor Kelley*, Robert S. Nocon, Matthew J. O’Brien

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Purpose of Review: Community health centers (CHCs) provide care to millions of vulnerable patients in the USA, including a disproportionate number with diabetes. Policies affecting diabetes management in CHCs therefore have broad implications for clinical practice and patient outcomes nationwide. We describe prior policies that have influenced diabetes management in CHCs, discuss current policies and programs, as well as present emerging innovations and future directions for diabetes care in this setting. Recent Findings: Domains for current diabetes policies and programs in CHCs include coverage requirements, quality reporting and incentives, prescription discounts, healthy behavior incentives, and team-based care. Policies in these areas affect the management of diabetes at multiple levels, from organizations that support CHCs to individual health centers, and the providers and patients based there. Summary: Several domains of interrelated policies and programs impact CHC diabetes management at multiple levels. Stakeholders’ understanding of these policies and programs may identify opportunities to improve diabetes care.

Original languageEnglish (US)
Article number8
JournalCurrent diabetes reports
Volume20
Issue number2
DOIs
StatePublished - Feb 1 2020

Keywords

  • Community health center
  • Community health worker
  • Diabetes self-management education and support
  • Health insurance
  • Quality improvement
  • Type 2 diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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