The Case for Diabetes Population Health Improvement: Evidence-Based Programming for Population Outcomes in Diabetes

Sherita Hill Golden, Nisa Maruthur, Nestoras Nicolas Mathioudakis, Elias Spanakis, Daniel Rubin, Mihail Zilbermint, Felicia Hill-Briggs

Research output: Contribution to journalReview article

Abstract

Purpose of Review: The goal of this review is to describe diabetes within a population health improvement framework and to review the evidence for a diabetes population health continuum of intervention approaches, including diabetes prevention and chronic and acute diabetes management, to improve clinical and economic outcomes. Recent Findings: Recent studies have shown that compared to usual care, lifestyle interventions in prediabetes lower diabetes risk at the population-level and that group-based programs have low incremental medial cost effectiveness ratio for health systems. Effective outpatient interventions that improve diabetes control and process outcomes are multi-level, targeting the patient, provider, and healthcare system simultaneously and integrate community health workers as a liaison between the patient and community-based healthcare resources. A multi-faceted approach to diabetes management is also effective in the inpatient setting. Interventions shown to promote safe and effective glycemic control and use of evidence-based glucose management practices include provider reminder and clinical decision support systems, automated computer order entry, provider education, and organizational change. Summary: Future studies should examine the cost-effectiveness of multi-faceted outpatient and inpatient diabetes management programs to determine the best financial models for incorporating them into diabetes population health strategies.

Original languageEnglish (US)
Article number51
JournalCurrent Diabetes Reports
Volume17
Issue number7
DOIs
StatePublished - Jul 1 2017

Keywords

  • Cost-effectiveness
  • Diabetes mellitus
  • Diabetes prevention
  • Inpatient diabetes
  • Multi-level diabetes interventions
  • Population health

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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