Expanding and Sustaining Integrated Health Care–Community Efforts to Reduce Diabetes Disparities
Open accessAbstract
To reduce racial and ethnic disparities in diabetes care and outcomes, it is critical to integrate health care and community approaches. However, little work describes how to expand and sustain such partnerships and initiatives. We outline our experience creating and growing an initiative to improve diabetes care and outcomes in the predominantly African American South Side of Chicago. Our project involves patient education and activation, a quality improvement collaborative with six clinics, provider education, and community partnerships. We aligned our project with the needs and goals of community residents and organizations, the mission and strategic plan of our academic medical center, various strengths and resources in Chicago, and the changing health care marketplace. We use the Robert Wood Johnson Foundation Finding Answers: Disparities Research for Change conceptual model and the Consolidated Framework for Implementation Research to elucidate how we expanded and sustained our project within a shifting environment. We recommend taking action to integrate health care with community projects, being inclusive, building partnerships, working with the media, and understanding vital historical, political, and economic contexts.
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The CFIR was proposed to be used for evaluating impact of health equity research during the phase of exploring the underlying mechanism of disparities and during the phase of developing and evaluating interventions to reduce disparities.
“The CFIR was proposed to be used for evaluating impact of health equity research during the phase of exploring the underlying mechanism of disparities and during the phase of developing and evaluating interventions to reduce disparities [15, 21].”
From Conceptual framework of equity-focused implementation research for health programs (EquIR) (2019) · cites this paper as [21]
This framework is based on the available evidence (Phase 1) where the relevant components and processes were identified, such as methodological steps and program planning, identification of vulnerable groups, the identification of barriers and facilitators, the design of implementation programs and tools and monitoring and evaluation of implementation.
“This framework is based on the available evidence (Phase 1) where the relevant components and processes were identified, such as methodological steps and program planning [20, 28–30], identification of vulnerable groups [30, 34], the identification of barriers and facilitators [21, 33, 34], the design of implementation programs and tools [30, 32, 33] and monitoring and evaluation of implementation”
From Conceptual framework of equity-focused implementation research for health programs (EquIR) (2019) · cites this paper as [21]
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“where the relevant components and processes were identified, such as methodological steps and program planning [20, 28–30], identification of vulnerable groups [30, 34], the identification of barriers and facilitators [21, 33, 34], the design of implementation programs and tools [30, 32, 33] and monitoring and evaluat…”
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- Authors
- Chin, M. H., Goddu, A. P., Ferguson, M. J., & Peek, M. E.
- Affiliations
- University of Chicago (US)
- Venue
- Health Promotion Practice
- Publisher
- SAGE Publications
- Published
- 2014-10-30
- Volume
- 15
- Issue
- 2_suppl
- Pages
- 29S-39S
- ISSN
- 1524-8399 (ISSN-L)
- 1552-6372
- PMC
- PMC4415354
- OpenAlex
- W2117579344
- Cited by
- 27
- References
- 41
- Citations by year
- 2025: 2 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 2
- FWCI
- 5.42
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Promotion Practice (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K24DK071933, R18DK083946, P30DK092949)
- Topics
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- diabetes disparities, racial and ethnic health disparities, African American community, patient education, patient activation, quality improvement collaborative, provider education, Consolidated Framework for Implementation Research, community participation, Chicago
- MeSH terms
- Diabetes Mellitus, Type 2, Humans, Quality of Health Care, Delivery of Health Care, Integrated, Community Networks, Healthcare Disparities
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