Early Lessons From An Initiative On Chicago’s South Side To Reduce Disparities in Diabetes Care and Outcomes

Sep 10, 2018

In a 2012 article for Health Affairs, Monica E. Peek and co-authors observe that racial and ethnic disparities in diabetes care and outcomes arise from a multitude of causes — including differential access to high quality healthcare, healthy food, and opportunities for safe recreation; cultural traditions regarding cooking; beliefs about disease and self-management; distrust of medical care providers; and socioeconomic status. The authors assert that effective interventions to address these disparities must be multifactorial, as education and lifestyle change motivation alone are likely to have minimal effect if key social determinants of health go addressed.

Peek et al offer a case study of an intervention on the South Side of Chicago that integrated the strength of health systems, patients, and communities to reduce disparities in diabetes care and outcomes. Among the key takeaways:

START SMALL
INCLUDE COACHING
UNDERSTAND ORGANIZATIONAL CULTURE
FOLLOW THE PRINCIPLES OF COMMUNITY BASED RESEARCH
KEEP THE GRAND VISION IN VIEW
PROVIDE COMMUNICATION TRAINING
IDENTIFY PERSONNEL COMMITTED TO COMMUNITY ENGAGEMENT
ALIGN WITH OTHER STRATEGIC INITIATIVES
BE PERSISTENT
FOCUS ON SUSTAINABILITY FROM THE START

Read the full article from Health Affairs.

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