Update on Approaches to Improve Delivery and Quality of Care for People with Diabetes

Michele Heisler; David Simmons; Gretchen A Piatt

doi:10.1016/j.ecl.2021.07.010

Update on Approaches to Improve Delivery and Quality of Care for People with Diabetes

Endocrinol Metab Clin North Am. 2021 Sep;50(3S):e1-e20. doi: 10.1016/j.ecl.2021.07.010. Epub 2021 Sep 29.

Authors

Michele Heisler¹, David Simmons², Gretchen A Piatt³

Affiliations

¹ Department of Internal Medicine, University of Michigan Medical School; Veterans Affairs Center for Clinical Management Research, VA Ann Arbor Healthcare System; Department of Health Behavior and Health Education, School of Public Health, University of Michigan. Electronic address: mheisler@umich.edu.
² School of Medicine, Western Sydney University, Sydney, Australia; Macarthur Clinical School, Campbelltown Hospital, Therry Road, Campbelltown, New South Wales 2560, Australia.
³ Department of Health Behavior and Health Education, School of Public Health, University of Michigan; Department of Learning Health Sciences, University of Michigan Medical School, 1111 E. Catherine Street, Victor Vaughan Building, Room 225, Ann Arbor, MI 48109, USA.

PMID: 34763822
DOI: 10.1016/j.ecl.2021.07.010

Abstract

To translate improvements in diabetes management into improved outcomes, it is essential to improve care delivery. To help guide clinicians and health organizations in their efforts to achieve these improvements, this article briefly describes key components underpinning effective diabetes care and six categories of innovations in approaches to improve diabetes care delivery: (1) team-based clinical care; (2) cross-specialty collaboration/integration; (3) virtual clinical care/telehealth; (4) use of community health workers (CHWs) and trained peers to provide pro-active self-management support; (5) incorporating screening for and addressing social determinants of health into clinical practice; and (6) cross-sectoral clinic/community partnerships.

Keywords: Diabetes mellitus; Health care delivery; Health care quality.

Published by Elsevier Inc.

Publication types

Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Review

MeSH terms

Community Health Workers
Delivery of Health Care
Diabetes Mellitus* / therapy
Humans
Quality of Health Care

Abstract

Publication types

MeSH terms

Grants and funding