ArticlePreventive medicine reports2026
Implementation and costs of a food insecurity resource navigation program for primary care patients with diabetes and hypertension in South Carolina.
Article in Preventive medicine reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To examine food insecurity resource navigation program costs and how navigation intensity relates to clinical outcomes, healthcare costs, and quality of life (QOL) for diabetes and/or hypertension patients. Methods: This retrospective study included patients receiving resource navigation (July 12, 2021-December 31, 2022 with twelve-month follow-up) across three primary care practices in South Carolina's largest health system. Participants were 18+ years old (from electronic medical records/Epic), had food insecurity (from Hunger Vital Sign™), and diabetes and/or hypertension (from Epic registries). Matched controls came from food insecurity screening-only practices. Patients in each group ( Results: Program costs (total = $29,752.91) primarily included case reviews ($19,809.25), navigation ($5,068.67), and training ($1,975.84), averaging $135.86 per patient. Navigation intensity was associated with twelve-month changes in HbA1c, BMI, QOL, primary, and inpatient charges. Conclusions: Navigation programs incur significant personnel time costs. Individuals with great healthcare needs may require intensive navigation.
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