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Table 5 Patient experience changes and diabetes outcome changes over time for survey respondents, community health worker vs. medical assistant vs. control group

From: The impact of integrating medical assistants and community health workers on diabetes care management in community health centers

 

Community Health Worker (CHW) Arm (n = 166)

Medical Assistant Arm (n = 171)

Control Arm (n = 361)

Pre

Post

Over Time

Pre

Post

Over Time

Pre

Post

Over Time

Patients’ Experiences of Care (Mean, 95% Confidence Interval)

         

Communication (CG-CAHPS)

68.6 (60.2, 77.1)

69.1 (60.5, 77.6)

0.5 (− 3.9, 4.9)

74.2 (64.5, 83.9)

76.1 (66.3, 85.9)

1.9 (− 2.4, 6.1)

71.1 (66.2, 75.9)

70.1 (65.2, 74.9)

−1.0 (− 4.0, 2.0)

Access to Care (CG-CAHPS)

40.5 (30.0, 51.0)

41.2 (30.7, 51.8)

0.7 (− 4.6, 6.0)

62.2 (50.1, 74.4)

60.0 (47.7, 72.2)

− 2.2 (− 7.4, 2.9)

55.7 (49.8, 61.6)

55.2 (49.2, 61.2)

0.5 (− 4.0, 3.1)

Patient Assessment of Chronic Illness Care (PACIC-11)

51.7 (46.0, 57.4)

53.8 (48.1, 59.5)

2.1 (− 2.0, 6.2)

47.5 (41.4, 53.6)

55.0 (48.9, 61.2)

7.5 (3.6, 11.5) ***

48.2 (44.8, 51.5)

51.8 (44.8, 51.5)

3.6 (0.7, 6.5)*

Patient Symptoms

         

Problem Areas In Diabetes (PAID-5) (higher is better)

50.0 (44.6, 55.4)

51.9 (46.4, 57.3)

1.9 (− 2.7, 6.4)

61.4 (56.0, 66.9)

59.0 (53.4, 64.5)

−2.4 (− 6.8, 2.0)

54.4 (51.1, 57.7)

57.8 (54.5, 61.1)

3.4 (0.2, 6.6)*

Hypoglycemic Events (% reporting an event in past 4 weeks)

51.9 (39.1, 64.7)

51.4 (38.7, 64.2)

−0.5 (− 13.7, 12.9)

46.2 (34.3, 58.2)

52.7 (40.7, 64.8)

6.5 (− 6.3, 19.2)

49.6 (41.5, 57.7)

53.5 (45.4, 61.6)

3.9 (− 5.4, 13.2)

  1. Note: CG-CAHPS Clinician Group Consumer Assessment of Health Care Providers and Systems survey; Control variables used for adjustment: patient age, sex, self-rated health, patient-reported use of insulin, and insurance status. Statistically significant over time differences compared to the control groups are denoted in the following manner: * p < 0.05; Bold denotes statistically significant (p < 0.05) differences between an intervention and control group