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Implementation, Outcomes, and Lessons Learned From a Collaborative Primary Health Care Program to Improve Diabetes Care Among Urban Latino Populations

Global Health Leadership Office, University of Illinois at Chicago College of Nursing, in Chicago, Illinois

Linda L. McCreary, , PhD, RN

University of Illinois at Chicago College of Nursing, in Chicago, Illinois, mccreary{at}uic.edu

Chang G. Park, PhD

University of Illinois at Chicago College of Nursing in Chicago, Illinois

Lori Ramos, MA, MPH

Chicago Global Donors Network

Enrique Martinez, MD

Ambulatory Specialty Services and Primary Care Clinics at the John H. Stroger Jr. Hospital of Cook County in Chicago, Illinois

Rajesh Parikh, MD, MPH

Education and Professional Development at the Illinois Primary Health Care Association

Kelly Kozik, BS, RD, LD, CDE

Cook County Network Diabetes Program, at the Cook County Bureau of Health Services in Chicago, Illinois

Leon Fogelfeld, MD

Division of Endocrinology, at Rush University Medical Center and chief, Division of Endocrinology, at John H. Stroger Jr. Hospital of Cook County in Chicago, Illinois

A collaborative primary health care service demonstration program was conducted to improve diabetes care among limited English-proficient (LEP) Latino patients. The intervention provided a multilevel approach aimed at patients and health care providers: Community health workers (CHWs) were mobilized to offer diabetes education in Spanish to LEP Latino diabetes patients, and health professions students and providers were offered intensive Spanish language training and cultural competency workshops. Positive outcomes for patients included a significant decrease in HbA1c. Health care providers reported improved patient communication and greater appreciation for cultural influences on health. Collaborating institutions realized ongoing benefits from expansion of CHWs' role and incorporation of cultural and language classes into health professions students' and house officers' training programs. Lessons learned included the importance of working together at every stage to identify and provide for the CHWs' training and support needs and to link the program's intervention with evaluation of multilevel outcomes.

Key Words: community health workers • diabetes education • Hispanic Americans • multisectoral collaboration • primary health care

This version was published on April 1, 2009

Health Promotion Practice, Vol. 10, No. 2, 293-302 (2009)
DOI: 10.1177/1524839907306406


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