Innovative strategies to improve diabetes outcomes in disadvantaged populations

J S Ruddock; M Poindexter; T L Gary-Webb; E A Walker; N J Davis

doi:10.1111/dme.13088

Innovative strategies to improve diabetes outcomes in disadvantaged populations

Diabet Med. 2016 Jun;33(6):723-33. doi: 10.1111/dme.13088.

Authors

J S Ruddock¹, M Poindexter², T L Gary-Webb^{2

3}, E A Walker⁴, N J Davis^{1

5}

Affiliations

¹ Department of Medicine, North Central Bronx Hospital, Department of Medicine, Albert Einstein College of Medicine, Bronx, NY.
² Department of Behavioral and Community Health Sciences, University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA.
³ Department of Epidemiology, University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA.
⁴ Department of Medicine, North Central Bronx Hospital, Bronx, NY.
⁵ Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.

PMID: 27194172
DOI: 10.1111/dme.13088

Abstract

Diabetes disproportionately affects disadvantaged populations. Eighty percent of deaths directly caused by diabetes occurred in low- and middle-income countries. In high-income countries, there are marked disparities in diabetes control among racial/ethnic minorities and those with low socio-economic status. Innovative, effective and cost-effective strategies are needed to improve diabetes outcomes in these populations. Technological advances, peer educators and community health workers have expanded methodologies to reach, educate and monitor individuals with diabetes. In the present manuscript we review the outcomes of these strategies, and describe the barriers to and facilitators of these approaches for improving diabetes outcomes.

Publication types

Review
Research Support, N.I.H., Extramural

MeSH terms

Adult
Child
Community Health Services / economics
Community Health Services / statistics & numerical data
Community Health Workers / economics
Community Health Workers / statistics & numerical data
Costs and Cost Analysis
Diabetes Mellitus, Type 1 / economics
Diabetes Mellitus, Type 1 / therapy*
Diabetes Mellitus, Type 2 / economics
Diabetes Mellitus, Type 2 / therapy*
Global Health / economics
Global Health / statistics & numerical data
Healthcare Disparities / economics
Healthcare Disparities / statistics & numerical data
Humans
Internet / economics
Internet / statistics & numerical data
Mobile Applications / economics
Mobile Applications / statistics & numerical data
Patient Education as Topic / economics
Patient Education as Topic / statistics & numerical data
Remote Consultation / economics
Remote Consultation / statistics & numerical data
Social Media / economics
Social Media / statistics & numerical data
Socioeconomic Factors
Telephone / economics
Telephone / statistics & numerical data
Therapies, Investigational / economics
Therapies, Investigational / statistics & numerical data*
Therapy, Computer-Assisted / economics
Therapy, Computer-Assisted / statistics & numerical data
Treatment Outcome
Vulnerable Populations