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Clinical Partnerships Model

Clinical care in rural communities is shaped by a number of factors, including:

  • Geographic distance
  • Workforce availability
  • Insurance coverage
  • Patient literacy levels regarding healthcare and insurance

Addressing these factors may minimize miscommunication and misunderstandings and increase the value of provider/patient relationships. Non-clinical professionals can support diabetes education and patient self-management efforts outside of clinical visits. This can reduce the burden on providers and travel distance to clinics by utilizing community based support. Restructuring care systems by expanding the team providing support for diabetics can also enhance overall continuity and quality of care available to meet patient needs. Coordinating care between practices and providers can increase the value of the types of services that rural patients with diabetes receive.

Using a team approach to provide diabetic care and education can involve a range of practitioners such as:

  • Primary care providers
  • Dietitians
  • Pharmacists
  • Nurses and nurse case managers
  • Community health workers
  • Volunteer lay persons

A multidisciplinary team can help diabetics take ownership in following medication guidelines, monitoring recommendations, and in adopting lifestyle changes that can enhance glucose control.

Resources to Learn More

Prevent Diabetes STAT (AMA)
Document
Toolkit providing resources to help healthcare teams work with patients with prediabetes. Focuses on screening, testing, and referral into evidence-based diabetes prevention programs.
Organization(s): American Medical Association, Centers for Disease Control & Prevention