Interprofessional Intervention to Reduce Emergency Department Visits in Black Individuals with Diabetes.
Publication/Presentation Date
2-1-2023
Abstract
Black individuals with diabetes have high rates of emergency department (ED) use. This randomized controlled trial compared the efficacy of Diabetes Interprofessional Team to Enhance Adherence to Medical Care (DM I-TEAM) versus Usual Medical Care (UMC) to reduce number of return ED visits/hospitalizations over 12 months in 200 Black individuals with diabetes after an ED visit. DM I-TEAM consisted of community health worker-delivered diabetes education and behavior activation, telehealth visits with a diabetes nurse educator and primary care physicians, and clinical pharmacist recommendations to reduce potentially inappropriate medications (PIMs). Secondary outcomes included glycemic control, PIMs use, diabetes self-management, diabetes self-efficacy, depression, and medical trust. Participants had a mean age of 64.9 years and 73.0% were women. The 2 treatment groups were similar in baseline characteristics. Sixty-eight (69.4%) DM I-TEAM participants and 69 (67.6%) UMC participants had at least 1 incident ED visit/hospitalization over 12 months. The adjusted incidence rate ratio for DM I-TEAM versus UMC was 1.11 (95% confidence interval 0.79-1.56;
Volume
26
Issue
1
First Page
46
Last Page
52
ISSN
1942-7905
Published In/Presented At
Rovner, B. W., Casten, R., Chang, A. M., Hollander, J. E., Leiby, B. E., Nightingale, G., Pizzi, L., Herres, J., White, N., Kelley, M., & Rising, K. (2023). Interprofessional Intervention to Reduce Emergency Department Visits in Black Individuals with Diabetes. Population health management, 26(1), 46–52. https://doi.org/10.1089/pop.2022.0216
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
36745390
Department(s)
Administration and Leadership
Document Type
Article