Addressing unmet basic resource needs as part of chronic cardiometabolic disease management

JAMA Internal Medicine

Volumn 177, Issue 2, 2017, Pages 244-252

  Berkowitz, Seth A ^a,b   Catherine Hulberg, Amy ^c   Standish, Sara ^c   Reznor, Gally ^a   Atlas, Steven J ^a,b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c Health Leads   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

GLUCOSE; HEMOGLOBIN A1C; LOW DENSITY LIPOPROTEIN CHOLESTEROL;

ADULT; ARTICLE; BASIC NEEDS; CARDIOMETABOLIC RISK; CHRONIC DISEASE; CHRONIC KIDNEY FAILURE; CLINICAL EFFECTIVENESS; CLINICAL EVALUATION; CLINICAL PRACTICE; COMPARATIVE STUDY; CONTROLLED STUDY; DIABETES MELLITUS; DIASTOLIC BLOOD PRESSURE; FEMALE; FOLLOW UP; HEALTH CARE NEED; HEALTH PROGRAM; HUMAN; HYPERTENSION; INTENTION TO TREAT ANALYSIS; ISCHEMIC HEART DISEASE; MAJOR CLINICAL STUDY; MALE; MANAGED CARE; MEDICAL INFORMATION; OUTCOME ASSESSMENT; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RESOURCE MANAGEMENT; SYSTOLIC BLOOD PRESSURE; TREATMENT INDICATION; CLINICAL TRIAL; DIABETES MELLITUS, TYPE 2; HEALTH PROMOTION; HEALTH SERVICE; HEALTH SERVICES RESEARCH; HYPERCHOLESTEROLEMIA; MASS SCREENING; MASSACHUSETTS; MIDDLE AGED; MULTICENTER STUDY; PRIMARY HEALTH CARE; PROCEDURES;

BOSTON; CHRONIC DISEASE; DIABETES MELLITUS, TYPE 2; FEMALE; HEALTH PROMOTION; HEALTH SERVICES NEEDS AND DEMAND; HEALTH SERVICES RESEARCH; HUMANS; HYPERCHOLESTEROLEMIA; HYPERTENSION; MALE; MASS SCREENING; MIDDLE AGED; PRIMARY HEALTH CARE;

EID: 85014544024     PISSN: 21686106     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamainternmed.2016.7691     Document Type: Article

References (38)

1. Mozaffarian D, Benjamin EJ, Go AS, et al; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics-2015 update: a report from the American Heart Association. Circulation. 2015; 131(4):e29-e322.
2. Murphy SL, Xu J, Kochanek KD, Bastian BA. Deaths: vital data for 2013: national vital statistics reports from the Centers for Disease Control and Prevention, National Center for Health Statistics. Natl Vital Stat Rep. 2016;64(2):1-119.
3. Alley DE, Asomugha CN, Conway PH, Sanghavi DM. Accountable Health Communities-Addressing Social Needs through Medicare and Medicaid. N Engl J Med. 2016;374(1):8-11.
4. Berkowitz SA, Baggett TP,Wexler DJ, Huskey KW,Wee CC. Food insecurity and metabolic control among U.S. adults with diabetes. Diabetes Care. 2013;36(10):3093-3099.
5. Berkowitz SA, Gao X, Tucker KL. Food-insecure dietary patterns are associated with poor longitudinal glycemic control in diabetes: results from the Boston Puerto Rican Health study. Diabetes Care. 2014;37(9):2587-2592.
6. Berkowitz SA, Meigs JB, DeWalt D, et al. Material need insecurities, control of diabetes mellitus, and use of health care resources: results of the Measuring Economic Insecurity in Diabetes study. JAMA Intern Med. 2015;175(2):257-265.
7. Castillo DC, Ramsey NL, Yu SS, Ricks M, Courville AB, Sumner AE. Inconsistent access to food and cardiometabolic disease: The effect of food insecurity. Curr Cardiovasc Risk Rep. 2012;6(3):245-250.
8. Ford ES. Food security and cardiovascular disease risk among adults in the United States: findings from the National Health and Nutrition Examination Survey, 2003-2008. Prev Chronic Dis. 2013;10:E202.
9. Gundersen C, Ziliak JP. Food insecurity and health outcomes. Health Aff (Millwood). 2015;34 (11):1830-1839.
10. Seligman HK, Laraia BA, Kushel MB. Food insecurity is associated with chronic disease among low-income NHANES participants. J Nutr. 2010; 140(2):304-310.
11. Seligman HK, Schillinger D. Hunger and socioeconomic disparities in chronic disease. N Engl J Med. 2010;363(1):6-9.
12. Choudhry NK, Avorn J, Glynn RJ, et al; Post-Myocardial Infarction Free Rx Event and Economic Evaluation (MI FREEE) Trial. Full coverage for preventive medications aftermyocardial infarction. N Engl J Med. 2011;365(22):2088-2097.
13. Choudhry NK, Fischer MA, Avorn JL, et al. The impact of reducing cardiovascular medication copayments on health spending and resource utilization. J AmColl Cardiol. 2012;60(18):1817-1824.
14. Havranek EP, Mujahid MS, Barr DA, et al; American Heart Association Council on Quality of Care and Outcomes Research, Council on Epidemiology and Prevention, Council on Cardiovascular and Stroke Nursing, Council on Lifestyle and Cardiometabolic Health, and Stroke Council. Social determinants of risk and outcomes for cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2015;132(9):873-898.
15. Kreatsoulas C, Anand SS. The impact of social determinants on cardiovascular disease. Can J Cardiol. 2010;26(suppl C):8C-13C.
16. Patel MR, Piette JD, Resnicow K, Kowalski-Dobson T, Heisler M. Social determinants of health, cost-related nonadherence, and cost-reducing behaviors among adults with diabetes: findings from the national health interview survey. Med Care. 2016;54(8):796-803.
17. Berkowitz SA, Seligman HK, Choudhry NK. Treat or eat: food insecurity, cost-related medication underuse, and unmet needs. Am J Med. 2014;127(4):303-310.e3.
18. Peek ME, Ferguson M, Bergeron N, Maltby D, Chin MH. Integrated community-healthcare diabetes interventions to reduce disparities. Curr Diab Rep. 2014;14(3):467.
19. Berkowitz SA, Hulberg AC, Hong C, et al. Addressing basic resource needs to improve primary care quality: a community collaboration programme. BMJ Qual Saf. 2016;25(3):164-172.
20. Eckel RH, Jakicic JM, Ard JD, et al; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014; 129(25)(suppl 2):S76-S99.
21. Berkowitz SA, Atlas SJ, Grant RW,Wexler DJ. Individualizing HbA1c targets for patients with diabetes: impact of an automated algorithm within a primary care network. Diabet Med. 2014;31(7): 839-846.
22. Grant RW,Wexler DJ, Ashburner JM, Hong CS, Atlas SJ. Characteristics of complex patients with type 2 diabetes mellitus according to their primary care physicians. Arch Intern Med. 2012;172(10):821-823.
23. Grundy SM, Cleeman JI, Merz CN, et al; National Heart, Lung, and Blood Institute; American College of Cardiology Foundation; American Heart Association. Implications of recent clinical trials for the national cholesterol education program adult treatment panel III guidelines. Circulation. 2004;110 (2):227-239.
24. Law MR, Morris JK,Wald NJ. Use of blood pressure lowering drugs in the prevention of cardiovascular disease: meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studies. BMJ. 2009;338:b1665.
25. Yudkin JS, Richter B, Gale EA. Intensified glucose lowering in type 2 diabetes: time for a reappraisal. Diabetologia. 2010;53(10):2079-2085.
26. Ali MK, Singh K, Kondal D, et al; CARRS Trial Group. Effectiveness of a multicomponent quality improvement strategy to improve achievement of diabetes care goals: A randomized, controlled trial. Ann Intern Med. 2016;165(6):399-408.
27. Freund T, Peters-Klimm F, Boyd CM, et al. Medical assistant-based care management for high-risk patients in small primary care practices: a cluster randomized clinical trial. Ann Intern Med. 2016;164(5):323-330.
28. Heisler M, Choi H, Palmisano G, et al. Comparison of community health worker-led diabetes medication decision-making support for low-income Latino and African American adults with diabetes using e-health tools versus print materials: a randomized, controlled trial. Ann Intern Med. 2014;161(10)(suppl):S13-S22.
29. Kangovi S, Mitra N, Grande D, et al. Patient-centered community health worker intervention to improve posthospital outcomes: a randomized clinical trial. JAMA Intern Med. 2014; 174(4):535-543.
30. Long JA, Jahnle EC, Richardson DM, Loewenstein G, Volpp KG. Peer mentoring and financial incentives to improve glucose control in African American veterans: a randomized trial. Ann Intern Med. 2012;156(6):416-424.
31. Margolius D, Bodenheimer T, Bennett H, et al. Health coaching to improve hypertension treatment in a low-income, minority population. Ann FamMed. 2012;10(3):199-205.
32. Peikes D, Chen A, Schore J, Brown R. Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials. JAMA. 2009; 301(6):603-618.
33. Pérez-Escamilla R, Damio G, Chhabra J, et al. Impact of a community health workers-led structured program on blood glucose control among Latinos with type 2 diabetes: the DiALBEST trial. Diabetes Care. 2015;38(2):197-205.
34. Philis-Tsimikas A, Fortmann A, Lleva-Ocana L, Walker C, Gallo LC. Peer-led diabetes education programs in high-risk Mexican Americans improve glycemic control compared with standard approaches: a Project Dulce promotora randomized trial. Diabetes Care. 2011;34(9):1926-1931.
35. Stone RA, Rao RH, Sevick MA, et al. Active care management supported by home telemonitoring in veterans with type 2 diabetes: the DiaTel randomized controlled trial. Diabetes Care. 2010;33 (3):478-484.
36. Tang TS, Funnell M, Sinco B, et al. Comparative effectiveness of peer leaders and community health workers in diabetes self-management support: results of a randomized controlled trial. Diabetes Care. 2014;37(6):1525-1534.
37. Coppell KJ, KataokaM, Williams SM, Chisholm AW, Vorgers SM, Mann JI. Nutritional intervention in patients with type 2 diabetes who are hyperglycaemic despite optimised drug treatment: Lifestyle Over and Above Drugs in Diabetes (LOADD) study: randomised controlled trial. BMJ. 2010;341:c3337.
38. Sommers BD, Musco T, Finegold K, Gunja MZ, Burke A, McDowell AM. Health reform and changes in health insurance coverage in 2014. N Engl J Med. 2014;371(9):867-874.