Community Health Workers, Access to Care, and Service Utilization Among Florida Latinos: A Randomized Controlled Trial.
OBJECTIVES: To determine whether a 1-year community health worker intervention improves access to care and service utilization among Latinos with diabetes.
METHODS: We conducted a single-blind randomized trial of 300 adults with poorly controlled diabetes treated in 2 public hospital clinics in Miami, Florida. We began enrollment in 2010 and completed follow-up in 2015. We examined access and utilization using self-reported measures and data from electronic medical records.
RESULTS: Participants randomized to the community health worker intervention self-reported fewer problems accessing needed care and prescriptions than did those in the usual care group (30% vs 43% and 28% vs 41%, respectively; P < .05 for both). Adjusting for age, gender, education, depression, and comorbidities showed similar results (odds ratio [OR] = 0.52; 95% confidence interval [CI] = 0.29, 0.93 and OR = 0.45; CI = 0.24, 0.82, respectively). We found no significant utilization differences in primary care visits, emergency department utilization, or hospitalization between the 2 groups.
CONCLUSIONS: Among Latinos with poorly controlled diabetes, a 1-year community health worker intervention was associated with improvements in self-reported access to care but not service utilization.
Published In/Presented At
Chang, A., Patberg, E., Cueto, V., Li, H., Singh, B., Kenya, S., Alonzo, Y., & Carrasquillo, O. (2018). Community Health Workers, Access to Care, and Service Utilization Among Florida Latinos: A Randomized Controlled Trial. American journal of public health, 108(9), 1249–1251. https://doi.org/10.2105/AJPH.2018.304542
Medicine and Health Sciences
Department of Medicine, Hematology-Medical Oncology Division