Date of Conferral

2020

Degree

Doctor of Healthcare Administration, DHA

School

Health Services

Advisor

Rabeh Hijazi

Abstract

Diabetes is a growing problem, becoming an increasing concern within prisons. Research suggests that as many as 4.9% of the inmate population is diagnosed with diabetes. To provide constitutionally required healthcare to the inmate population, corrections officials must identify a validated diabetes treatment modality geared toward improving diabetes outcomes. The purpose of this quantitative study was to evaluate the impact of a patient centered medical home (PCMH) based model of healthcare within the California Correctional Health Care Services (CCHCS) on diabetic prisoners. Using the social construct theory as the framework, the research questions were focused on determining whether there was a relationship between Hemoglobin A1C and Cholesterol LDL values of diabetic patients after the implementation of the complete care model (CCM) within CCHCS. With a sample size of 142, an ANOVA analysis using SPSS revealed that there was a significant decrease in Hemoglobin A1C values after the implementation of the CCM. However, Cholesterol LDL values did not significantly decrease. There was also a statistically significant increase in referrals to specialty services. The study contributes to positive social change by validating the PCMH model for use in the treatment of diabetes within a structured setting such as a prison system. The results of the study can be used to expand the use of CCM toward improving the health and wellness of inmates as they are rehabilitated for return to the community.

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