Health Care Facility-based Settings

Health care facility-based interventions often entail diabetes counseling by a health care provider in public or private health care settings (e.g., doctor’s office, hospital, health department, or assisted living facility). These counseling sessions may require reminders or prompts for the provider to discuss diabetes and related risk factors or health conditions. These interventions can also include training for health care professionals on the importance of diabetes prevention and management (e.g., glucose monitoring, nutrition, physical activity, taking medication, or quitting smoking). Some of the challenges in the health care setting include the limited time health care providers may have to visit with their individuals and the risk of information overload because of competing or related health priorities. Referrals to other community resources can also be an important part of interventions in health care settings.

Previous work in health care facility-based settings has found:

  • Health care facilities are an important location to implement diabetes education and prevention campaigns.
  • Visual media placed in health care settings may help remind individuals to ask their health care providers about diabetes or help providers remember to speak with individuals about diabetes-related concerns (e.g., foot checks).
  • Health care settings (e.g., hospitals, pharmacies, dental clinics, WIC clinics, emergency rooms, residential care facilities, and pediatrician clinics) are important settings for diabetes education interventions because of the natural provider-patient exchange.
  • Health care facilities often provide direct access to the individuals with diabetes.
  • In health care settings, individuals with diabetes may be more motivated to make changes to lifestyle behaviors.
  • Because organizations in health care facility-based settings assess and store information on individuals, they are well-suited for diabetes education interventions because individual information is already collected and communication systems for these individuals are already in place. These settings make it easier to distribute individually tailored information to participants.

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