HHS
Recommendations, Steps to a HealthierUS |
San
Francisco Interventions or Resources |
Educate
health plans and providers regarding standards for preventive health
care practices and how to fully implement them. |
Kaiser,
CHN, SF Health Plan |
Conduct community-wide campaigns to implement a diabetes risk assessment
questionnaire (e.g., American Diabetes Associations Are You
at Risk?) at multiple points of contact such as grocery stores,
pharmacies, family planning clinics, senior centers, churches, and
department stores, etc. |
local
chaper ADA |
Conduct
media campaigns promoting diabetes risk-assessment with the message
to see a health care provider if the individual is at risk. |
|
Promote
diabetes literacy among the public. |
Dean
Schillinger and others at SFGH Primary Care have been doing seminal
research in this area. See recent papers in Arch
Intern Med or in JAMA |
Increase
the likelihood that physicians develop treatment plans for diagnosed
[diabetic] patients and follow accepted standards of care. |
|
Provide
and train health care professionals on office-based procedures for
referrals, follow-up, and patient reminders [for diabetic patients]. |
|
Provide
a process for referrals [of diabetics] to community facilities for
physical activity, nutrition education, and tobacco cessation. |
|
Ensure
participation of federally funded health centers in comprehensive
diabetes plans. |
SF
Community Clinic Consortium & CHN Primary Care |
Form
diabetes support groups to improve self-management practices in
people with diabetes and to support lifestyle changes. |
|
Provide
family and caretaker education for people with diabetes to support
change/maintenance of behavior in patients with pre-diabetes and
diabetes. |
|
Support
faith-based outreach services to offer their resources (e.g. transportation,
meeting space, designated diabetes awareness activities) to the
elderly, disabled, and socially isolated members of the community. |
|
Provide
training to school staff to respond to diabetes emergencies, assist
in diabetes care/self-management, and provide education to other
students regarding diabetes. |
See
also, school health |
Develop
community support groups for persons with diabetes. |
|
Also
see tobacco, poor
diet, physical inactivity,
and school health |
|