Evidence map›Paper›PMID 37036509›Full record

ArticleActa diabetologica2023

Programa de diabetes: improving diabetes care for undocumented immigrants using the Chronic Care Model at a free community clinic.

Mairi Gael Leining, Xiaobin Zhou, Gayane Yenokyan, Shaunicy Sturm, Jennifer Meyer, Yomira Diaz, MaeLin Sorenson, Nina Chartrand

Open access · hybridFull text read
In one paragraph

Article in Acta diabetologica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Social Needs and Type 2 Diabetes in Latinos: An Integrative Review.Journal of racial and ethnic health disparities · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Mairi Gael LeiningPeople's Health Clinic, Johns Hopkins Bloomberg School of Public Health, Park City, Baltimore, UT, MD, USA. mleining@gmail.com.ORCID http://orcid.org/0000-0001-9851-4963
Xiaobin ZhouJohns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Gayane YenokyanJohns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Shaunicy SturmPeople's Health Clinic, Park City, USA.
Jennifer MeyerPeople's Health Clinic, Park City, USA.
Yomira DiazPeople's Health Clinic, Park City, USA.
MaeLin SorensonPeople's Health Clinic, Park City, USA.
Nina ChartrandPeople's Health Clinic, Park City, USA.
Park University · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis study examined whether the Chronic Care Model can be successfully applied to improve health outcome measures for uninsured, undocumented immigrants with diabetes at a free, non-federally funded community clinic.

methodsData were collected from 128 uninsured, undocumented immigrants enrolled in Programa de diabetes, a comprehensive diabetes program at People's Health Clinic based on the six core elements of the Chronic Care Model. All study participants self-identified by the Hispanic ethnicity. A longitudinal study design was used to compare baseline diabetic health measures with outcome data after patient program participation over a 12-month enrollment period. Linear mixed effect model was used to determine the patient specific change in HbA1C across time, controlling for gender, age, food insecurity, income level, diabetes type, and literacy. In addition, McNemar tests were conducted to compare the coverage of eye exams and statin use before and after program enrollment.

resultsAfter program enrollment, individual specific change in HbA1C was expected to be - 0.201 [95% CI 0.244, - 0.158] % per month after controlling for baseline covariates. There were statistically significant improvements in both eye exam coverage (p < 0.01) and statin use (p < 0.01).

conclusionsThe Chronic Care Model can be successfully applied to improve health outcome measures at a free, non-federally funded community clinic among uninsured, undocumented immigrants, who identify by the Hispanic ethnicity and have the diagnosis of diabetes. Barriers to care including food insecurity, federal poverty level and illiteracy do not preclude glycemic control.

Indexed as

Diabetes MellitusHydroxymethylglutaryl-CoA Reductase InhibitorsUndocumented ImmigrantsGlycated HemoglobinHumansLongitudinal StudiesGlycated HemoglobinHydroxymethylglutaryl-CoA Reductase InhibitorsDiabetes managementFree community clinicHealth equitySocial determinants of healthUndocumented immigrants

Identifiers

PMID37036509
PMCPMC10199103
OpenAlexW4363645914

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.