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Emory Global Health Institute Field Scholars Awards Program

2009 Global Health Institute Field Scholars

What are the Causes and Consequences of Poor Health Service Utilization and Clinic Follow-up by Diabetic Patients in Chennai, India?

Ezekiel Burke, Goizueta Business School
Joan Brathwaite, Rollins School of Public Health
Katy Kirk, Rollins School of Public Health
Shruthi Subramanyam, Emory College

fsa project 2009 diabetesThis project seeks to examine: 1) the economic, social, infrastructural, and other barriers that prevent patients with diabetes from accessing or continuing clinical care; 2) the health and economic consequences that occur when individuals with diabetes do not maintain a regular schedule of clinical care; and 3) if the consequences are negative, recommendations that can be made to increase health service utilization and clinic follow-up visits. The project is a collaboration with the Madras Diabetes Research Foundation (MDRF), located in Chennai and associated with Dr. Mohan's Diabetes Specialities Clinic, one of the largest diabetes clinics in India.

Emory students' primary objective will be to identify the factors that influence health-seeking behaviors and health service utilization in people with diabetes. Specifically, they will partner with counterparts at MDRF to: 1) identify patients who have not been following a prescribed routine of clinical care; 2) design culturally appropriate, economically feasible, and clinically valid methods for contacting patients (case-control, household survey, focus groups, etc.) and collecting health measures; and 3) analyze data and draw conclusions. If patients who do not maintain a regimen of clinical care have poorer health outcomes than those who do, the student team can make recommendations for improving follow-up care based on inferences from their experiences. If time allows, the student team may also design and implement a pilot study to test some or all of the recommendations it makes.

To learn about student impressions of their experiences first hand, click here to read Mr. Burke's blog.

In follow-up to their summer work, this team presented a poster of their project during the 2009 EGHI Global Health Scholars Symposium.

return to 2009 field scholars list