Using Peer Power to Reduce Health Disparities: Implementation of a Diabetes Support Coach Program in Federally Qualified Health Centers.
Using Peer Power to Reduce Health Disparities: Implementation of a Diabetes Support Coach Program in Federally Qualified Health Centers.
复制标题
DOI：
10.2337/dsi22-0004
复制
发表时间：
2022-01-01
期刊：
影响因子：
--
通讯作者：
Maahs, David
中科院分区：
文献类型：
--
作者：
Walker, Ashby F;Addala, Ananta;Maahs, David
社区卫生工作者通过解决与健康的社会决定因素有关的障碍（这些障碍往往阻碍糖尿病患者实现最佳健康结果），为服务不足的社区提供至关重要的支持，促进卫生公平。糖尿病同伴支持项目还可以通过共同了解糖尿病和消除与糖尿病相关的耻辱感，为糖尿病患者提供宝贵的支持。作为社区医疗保健结果（ECHO）糖尿病项目扩展的一部分，向参与的联邦合格医疗保健中心提供了糖尿病支持教练（dsc），以促进患者参与。由于糖尿病患者本身就生活在他们所服务的地区，因此他们拥有宝贵的专业知识，从而将社区卫生工作者的角色与同伴支持模式结合起来。在2019年冠状病毒病大流行期间及以后，使用dsc和chw在接触服务不足的糖尿病社区和促进卫生公平方面非常有效。
Community health workers (CHWs) provide vital support to underserved communities in the promotion of health equity by addressing barriers related to the social determinants of health that often prevent people living with diabetes from achieving optimal health outcomes. Peer support programs in diabetes can also offer people living with diabetes invaluable support through a shared understanding of the disease and by offsetting diabetes-related stigma. As part of a Project Extension for Community Healthcare Outcomes (ECHO) Diabetes program, participating federally qualified healthcare centers were provided diabetes support coaches (DSCs) to facilitate patient engagement. DSCs hold invaluable expert knowledge, as they live with diabetes themselves and reside in areas they serve, thus combining the CHW role with peer support models. The use of DSCs and CHWs during the coronavirus disease 2019 pandemic and beyond is highly effective at reaching underserved communities with diabetes and promoting health equity.