Accelerating Best Practices in Peer Support Around the World

Cost

2.21.17

Impact of CHWs on Use of Healthcare Services in the United States: A Systematic Review

Jack HE, Arabadjis SD, Sun L, Sullivan EE, Phillips RS

J Gen Intern Med. 2016 Dec 5. [Pubmed Abstract]

Background
As the US transitions to value-based healthcare, physicians and payers are incentivized to change healthcare delivery to improve quality of care while controlling costs. By assisting with the management of common chronic conditions, community health workers (CHWs) may improve healthcare quality, but physicians and payers who are making choices about care delivery also need to understand their effects on healthcare spending.

Methods
We searched PubMed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, PsycINFO, Embase, and Web of Science from the inception of each database to 22 June 2015. We included US-based studies that evaluated a CHW intervention for patients with at least one chronic health condition and reported cost or healthcare utilization outcomes. We evaluated studies using tools specific to study…

2.21.17

Impact of CHWs on Elderly Patients’ Advance Care Planning and Health Care Utilization: Moving the Dial

Litzelman DK, Inui TS, Griffin WJ, Perkins A, Cottingham AH, Schmitt-Wendholt KM, Ivy SS

Med Care. 2016 Nov 21. [Pubmed Abstract]

Background
Advance care planning (ACP) is recommended for all persons to ensure that the care they receive aligns with their values and preferences.

Objective
To evaluate an ACP intervention developed to better meet the needs and priorities of persons with chronic diseases, including mild cognitive impairment.

Research Design
A year-long, pre-post intervention using lay community health workers [care coordinator assistants (CCAs)] trained to conduct and document ACP conversations with patients during home health visits with pre-post evaluation.

Subjects
The 818 patients were 74.2 years old (mean); 78% women; 51% African American; 43% white.

Measures
Documentation of ACP conversation in electronic health record fields and health care utilization outcomes.

Results
In this target population ACP documentation rose from 3.4% (pre-CCA…

1.17.17

Cost analysis of a peer support program for patients with T2D: A secondary analysis of a controlled trial

Eur J Public Health. 2016 Oct 2. [Pubmed Abstract]

Cost analysis of a peer support programme for patients with type 2 diabetes: a secondary analysis of a controlled trial
Johansson T, Keller S, Sönnichsen AC, Weitgasser R

Background
This study aimed to explore if group-based peer support as an additional component to a disease management programme (DMP) in type 2 diabetes can reduce the number of prescribed drugs; hospital admissions; and length of hospital stay and therefore be a cost-effective model.

Methods
Controlled study based on a secondary data analysis of a cluster randomized trial. Our study population was general practitioners and patients in the province of Salzburg. The 24-months intervention consisted of regular group meetings facilitated by trained peer supporters. The groups exercised together, discussed diabetes related topics, and received support by professionals. Data was anonymously collected on clusters through the statutory health…

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