Community-based assessment of diabetes-related prevention, treatment and management services in the Portland, Oregon metropolitan region

Diabetes is a major source of morbidity and mortality worldwide. In Oregon, the prevalence of diabetes rose 30% over the past 10 years, currently affecting more than 6% of the adult population, and resulting in over 1000 deaths annually.

In the Portland, Oregon metropolitan area, medical and social service providers, community organizations, university researchers, and community residents formed a coalition to improve diabetes-related prevention and clinical services, service delivery and policy development in the region.

This presentation shares findings from our coalition-driven assessment of diabetes-related services in Portland and its surrounding counties. We also review how coalition partners collaboratively identified research questions, created study instruments, collected and analyzed data, and disseminated results.

A web-based survey was conducted with representatives from over 350 clinical and community-based organizations that provide diabetes-related prevention programs, clinical resources, and social services, such as disease management, support groups, prevention programs and advocacy. The survey identified the breadth of services in the region, gaps in their provision and accessibility, and specific programs available for members of culturally diverse populations or persons with lower socioeconomic means.

Study results were assembled into a resource guide and shared with service providers and community members throughout the region. Results also are being used to develop new prevention and treatment programs, guide diabetes-related policy, and improve the cultural competency of service delivery; all actions necessary to address the growing needs of our communities affected by diabetes.