The Comparative Effectiveness Research (CER) Approaches to Eliminate Cardiometabolic Disparities (ECD)"""""""" is a revision application that includes 4 CER activities to integrate comparative effectiveness research methods with existing health disparities approaches to address persistent gaps in cardiometabolic health care disparities in Native and Pacific Peoples. These 4 activities are: #1: The Pay-for-Outcomes (P40) Study: Incentivized Partnerships to Reduce Diabetes Disparities. #2: Building Human Capital: provides 4 new CER-health disparities training activities. #3: Data Infrastructure: will establish CER patient registries for diabetes and cardiometabolic diseases. #4: Dissemination and Translation: will translate a heart failure intervention to prevent re-hospitalization into clinical practice and build a clinical providers network. All 4 activities invests in the Center for Native and Pacific Health Disparities Research (The Center) to leverage its existing Infrastructure to support CER for eliminating health disparities, especially cardiometabolic health disparities, in the priority populations of Native Hawaiians, Alaska Natives and Pacific Peoples (Filipino, Micronesian, Samoan. etc.). The P40 Study is an innovative Intervention that integrates CER and health disparities approaches to address diabetes disparities among low Income, racial/ethnic minorities with known gaps in diabetes care.
The specific aims are: 1. Compare the effectiveness of incentivized partnerships on reducing mean HbAlc to <7% in multi-ethnic, low-income patients with diabetes versus usual care. 2. Compute the incremental cost-effectiveness of financial incentives plus education to achieve glycemic goals compared with usual care. 3. Examine whether effectiveness and incremental cost-effectiveness ratios differ by race and ethnicity. The P40 Study will use a block randomized control trial design to examine the effectiveness of education and financial incentives to patient-provider pairs for improving HbAlc levels to goal (HbAlc <7%) compared with usual care in an ethnically diverse Medicaid population. The potential impact of this study and the investment of all 4 CER activities are substantial since considerable uncertainty exists on which treatments are most effective among racial/ethnic minorities who are challenged with suboptimal diabetes care. Our CER-ECD initiative fills a unique role In addressing health care disparities that other organizations are unlikely to do and our strategic partnerships will allow for the CER investments to have multiplicative and far reaching returns throughout the Pacific region and across diverse priority populations including Native and Pacific Peoples.
|Seto, Jason; Davis, James; Taira, Deborah Ann (2018) Examining the Association Between Different Aspects of Socioeconomic Status, Race, and Disability in Hawaii. J Racial Ethn Health Disparities 5:1247-1253|
|Wey, Andrew; Davis, James; Juarez, Deborah Taira et al. (2018) Distinguishing between primary and secondary racial identification in analyses of health disparities of a multiracial population in Hawaii. Ethn Health 23:233-248|
|Kaholokula, Joseph Keawe'aimoku; Ing, Claire Townsend; Look, Mele A et al. (2018) Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders. Ann Hum Biol 45:249-263|
|Nakagawa, Kazuma; King, Sage L; Seto, Todd B et al. (2018) Disparities in Functional Outcome After Intracerebral Hemorrhage Among Asians and Pacific Islanders. Front Neurol 9:186|
|Nakagawa, Kazuma; King, Sage L; Seto, Todd B (2018) Optimal Hematoma Volume Cut Points to Predict Functional Outcome After Basal Ganglia and Thalamic Hemorrhages. Front Neurol 9:291|
|Sentell, Tetine; Ahn, Hyeong Jun; Miyamura, Jill et al. (2018) Thirty-Day Inpatient Readmissions for Asian American and Pacific Islander Subgroups Compared With Whites. Med Care Res Rev 75:100-126|
|Hulgan, Todd; Ramsey, Benjamin S; Koethe, John R et al. (2018) Relationships between Adipose Mitochondrial Function, Serum Adiponectin, and Insulin Resistance in Persons with HIV after 96 weeks of Antiretroviral Therapy. J Acquir Immune Defic Syndr :|
|Nakagawa, Kazuma; Seto, Todd B (2018) Thrombus ""Squeezing"" Through Patent Foramen Ovale After Traumatic Brain Injury. Neurocrit Care :|
|Malabed, Jhon Michael; Taira, Deborah A; Seto, Todd B et al. (2018) 2017 Writing Contest Undergraduate Winner: Pathways to Preventable Hospitalizations for Filipino Patients with Diabetes and Heart Disease in Hawai'i. Hawaii J Med Public Health 77:155-160|
|Sentell, Tetine Lynn; Shen, Chengli; Landsittel, Doug et al. (2018) Racial/Ethnic Differences in Those Accompanying Medicare Patients to the Doctor: Insights from the 2013 Medicare Current Beneficiary's Survey. J Immigr Minor Health 20:776-783|
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