Utilizing a nurse/community health worker team model, a Midwest institution's community health care division developed a 12-month managed care program for underserved individuals diagnosed with heart failure and/or diabetes. A study of 277 patients was conducted to determine whether this model could be utilized in rural settings. The program was evaluated using the Institute for Healthcare Improvement's Triple Aim criteria; HEDIS measures and other health indicators quantified each patient's performance. Study participants showed improved outcomes and a reduction in the total cost of care. Hospital admissions decreased (203.4 inpatient days were saved), and the return-on-investment value realized was 1.37 for emergency department and inpatient visits in the rural communities.
better) and associated with greater reduction in WC and WHR in women. At 6 mth men increased in AO (DWC − 1.44±2.9 cm men, p = 0.02; DWHR − 0.014±0.02, p = 0.003). Conclusion: Supervised short-term program is more effective than long Home-based diet. Predictive value of gender in outcomes: men greater reductions in WC and WHR in short-term supervised program, due to the less men compliance to the long-term home-based diet, women greater reducted in WC and WHR after 6 mths.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.