Care guides: Employing nonclinical laypersons to help primary care teams manage chronic disease

Richard Adair, Jon Christianson, Douglas R. Wholey, Katie White, Robert Town, Suhna Lee, Heather Britt, Peter Lund, Anya Lukasewycz, Deborah Elumba

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Lay persons ("care guides") without previous clinical experience were hired by a primary care clinic, trained for 2 weeks, and assigned to help 332 patients and their providers manage their diabetes, hypertension, and congestive heart failure. One year later, failure by these patients to meet nationally recommended guidelines was reduced by 28%, P < .001. Improvement was seen in tobacco usage, blood pressure control, pneumonia vaccination, low-density lipoprotein cholesterol levels, annual eye examinations, aspirin use, and microalbuminuria testing. Care guides served an average of 111 patients at an annual per patient cost of $392. Further testing of this model is warranted.

Original languageEnglish (US)
Pages (from-to)27-37
Number of pages11
JournalJournal of Ambulatory Care Management
Volume35
Issue number1
DOIs
StatePublished - Jan 1 2012

Keywords

  • care guides
  • care management
  • chronic disease
  • community health workers
  • primary care

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