TY - JOUR
T1 - The Case for Diabetes Population Health Improvement
T2 - Evidence-Based Programming for Population Outcomes in Diabetes
AU - Golden, Sherita Hill
AU - Maruthur, Nisa
AU - Mathioudakis, Nestoras
AU - Spanakis, Elias
AU - Rubin, Daniel
AU - Zilbermint, Mihail
AU - Hill-Briggs, Felicia
N1 - Funding Information:
Nisa Maruthur reports grants from the Baltimore City Health Department and from the Maryland Department of Health and Mental Hygiene. Daniel Rubin reports grants from NIH/NIDDK (K23DK102963). Nestoras Mathioudakis reports grant from NIH/NIDDK (K23DK111986-01).
Publisher Copyright:
© 2017, Springer Science+Business Media New York.
PY - 2017/7/1
Y1 - 2017/7/1
N2 - 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.
AB - 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.
KW - Cost-effectiveness
KW - Diabetes mellitus
KW - Diabetes prevention
KW - Inpatient diabetes
KW - Multi-level diabetes interventions
KW - Population health
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U2 - 10.1007/s11892-017-0875-2
DO - 10.1007/s11892-017-0875-2
M3 - Review article
C2 - 28567711
AN - SCOPUS:85020019950
VL - 17
JO - Current Diabetes Reports
JF - Current Diabetes Reports
SN - 1534-4827
IS - 7
M1 - 51
ER -