Community Partnership to Examine Racial and Ethnic Differences in Health Care for Hypertension and Diabetes



Status:Completed
Conditions:High Blood Pressure (Hypertension), Diabetes
Therapuetic Areas:Cardiology / Vascular Diseases, Endocrinology
Healthy:No
Age Range:18 - Any
Updated:7/11/2015
Start Date:October 2009
End Date:June 2011
Contact:Thomas Keegan, PhD
Email:keegan@hcp.med.harvard.edu
Phone:617-432-4335

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Community, Health Center, and Academic Medicine Partnership Project (CHAMPP)

Hypertension and diabetes are among the most common chronic diseases in the United States.
Racial and ethnic minority groups are more at risk for these diseases than the Caucasian
population. This study will attempt to identify factors that contribute to racial and ethnic
differences in hypertension and diabetes care among minority patients of community health
centers (CHCs). This information will be used to design and implement programs to improve
quality of care in these communities.

Hypertension and diabetes are the primary contributors to today's high rates of heart
disease and stroke, which are the first and third leading causes of death in the United
States, respectively. African Americans and Hispanics have a higher risk of developing
hypertension and diabetes than do Caucasians. They are also less likely to know that they
have high blood pressure, are more prone to organ damage, and are more likely to die as a
result of these chronic conditions. A significant number of African Americans and Hispanics
are uninsured and receive care through publicly supported CHCs. It is important to identify
factors that contribute to healthcare differences among the lower income, uninsured, and
minority populations that are typically served by CHCs. In this study, a collaborative
partnership will be developed between CHCs, health service research organizations, and
academic researchers. The goal of the study is to examine the barriers that minority CHC
patients face in receiving appropriate hypertension and diabetes care.

This study will develop a collaborative partnership between various health organizations and
seven CHCs located in Boston neighborhoods that have a large percentage of African American
and Hispanic residents. Researchers will conduct focus groups with CHC patients who are
receiving care for hypertension or diabetes. CHC staff members will be interviewed to
collect information regarding the relationship between CHC organizational structure and
disparities in heart disease risk factors among minority patients with hypertension or
diabetes. Researchers will then develop, implement, and evaluate a patient- and CHC-focused
intervention aimed at reducing the cardiovascular risks of minority patients at four CHCs in
Boston.

Inclusion Criteria:

- Diabetes

- Hypertension, as diagnosed by the average of two or more blood pressure measurements
taken during two or more study visits following an initial screening

- Race is 'Black' or ethnicity is 'Hispanic'

- Patient at participating Community Health Center
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