An inner-city breast examination center serving low-income, minority women educates patients about colorectal cancer screening and assists them in getting a colonoscopy screening test, leading to enhanced interest in and access to such screening.
A joint case management program sponsored by two competing hospitals addresses the health and social needs of uninsured and underinsured individuals who have a history of using the emergency department for nonemergent issues. The program has led to enhanced access to appropriate care and to a significant decline in emergency department use and costs for nonemergent conditions.
Trained dental practitioners in public health centers offered cessation assistance to low-income smokers as part of routine oral health visits in public health centers, leading to higher quit rates (especially among African-American smokers).
School-based, culturally appropriate therapy focused on dealing with trauma helps West African refugee children improve coping skills and academic performance.
A high school–based program provides culturally appropriate education and follow up support to Latino teenagers, leading to reduced likelihood of engaging in risky sexual behaviors.
A primary care physician-health coach team delivers intensive, ongoing care management services to medically complex, chronically ill patients, leading to significant improvements in self-management behaviors, clinical outcomes, and patient satisfaction and to lower utilization and markedly slower growth in costs.
Physicians working in underserved areas use preprinted “prescription pads” to increase use of free community recreational activities and resources by overweight and obese patients, with the goal of helping them achieve a more healthy weight.
The Pathways to a Healthy Bernalillo County Program identifies vulnerable, underserved residents and connects them to needed health and social services.
Outreach workers from two community-based organizations coordinate efforts to support Mexican farm workers in navigating the health care system and enhancing their health. The program led to more physical activity, better dietary habits, and higher satisfaction.
Culturally and linguistically appropriate education and emotional support to low-income monolingual Chinese immigrants leads to improved knowledge and better blood glucose control in a pilot test of diabetes patients. Based on the success of this pilot, the program has been expanded to serve those with coronary artery disease and congestive heart failure as well.