African Americans; Diabetes; Diabetes – Treatment; Health and race; Intermediate outcomes; Processes of care; Racial disparities


Community-Based Research | Demography, Population, and Ecology | Endocrinology, Diabetes, and Metabolism | Inequality and Stratification | Medicine and Health | Public Health | Race and Ethnicity


Diabetes is growing in prevalence and costs. Guidelines for care have been available since 1983, yet diabetes care and outcomes remain less than ideal. CDC’s Racial and Ethnic Approaches to Community Health 2010 (REACH 2010) identified diabetes in African Americans as a priority for action. This article documents the activities, interventions, and current progress of the REACH 2010 diabetes coalition formed in Charleston and Georgetown counties, South Carolina, in reducing health care disparities and describes next steps for improving outcomes. The Chronic Care Model guided many of the implementation activities, and chart audits were used to document outcomes. Ambulatory care visits (N = 1522) between 2000 and 2004 were reviewed. Significant progress has been made in reducing disparities in process measures, but similar reductions for intermediate outcomes have not been observed.