Translating Knowledge into Action to Prevent Type 2 Diabetes: Medicare Expansion of the National Diabetes Prevention Program Lifestyle Intervention.
Policy PointsAlthough preventable chronic conditions such as type 2 diabetes carry a significant cost and health burden, few lifestyle interventions have been scaled at a national policy level.The translation of the National Diabetes Prevention Program lifestyle intervention from research to a Medic...
| Publicado en: | Milbank Quarterly Vol. 98; no. 1; pp. 172 - 197 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
Wiley-Blackwell
Mar2020
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=142291190&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 142291190 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 0887378X MIQ jtl: Milbank Quarterly issn: 0887378X maglogo: Y pubinfo: dt: Mar2020 vid: 98 iid: 1 pid: 480 pub: Wiley-Blackwell artinfo: ui: 142291190 10.1111/1468-0009.12443 ppf: 172 ppct: 25 formats: tig: atl: Translating Knowledge into Action to Prevent Type 2 Diabetes: Medicare Expansion of the National Diabetes Prevention Program Lifestyle Intervention. aug: au: BURD, CARLYE GRUSS, STEPHANIE ALBRIGHT, ANN ZINA, ARIELLE SCHUMACHER, PATRICIA ALLEY, DAWN affil: Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention Currently at the Department of Health and Human Services su: United States Centers for Disease Control & Prevention (U.S.) Centers for Medicare & Medicaid Services (U.S.) Behavior modification Health behavior Health promotion Interprofessional relations Medical care costs Health policy Medicare Theory-practice relationship Institutional cooperation Population health Human services programs Type 2 diabetes prevention Conceptual structures National health services Prediabetic state Evidence-based medicine Value-based healthcare sug: subj: Behavior modification Health behavior Health promotion Interprofessional relations Medical care costs Health policy Medicare Theory-practice relationship Institutional cooperation Population health Human services programs United States Centers for Disease Control & Prevention (U.S.) Centers for Medicare & Medicaid Services (U.S.) Administration of Public Health Programs Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Type 2 diabetes prevention Conceptual structures National health services Prediabetic state Evidence-based medicine Value-based healthcare keyword: Diabetes prevention translation Diabetes prevention translation ab: Policy PointsAlthough preventable chronic conditions such as type 2 diabetes carry a significant cost and health burden, few lifestyle interventions have been scaled at a national policy level.The translation of the National Diabetes Prevention Program lifestyle intervention from research to a Medicare‐covered service can serve as a model for national adoption of other interventions that have the potential to improve population health.The successful translation of the National Diabetes Prevention Program has depended on the collaboration of government agencies, academic researchers, community‐based healthcare providers, payers, and other parties. Context: Many evidence‐based health interventions never achieve national implementation. This article analyzes factors that supported the translation and national implementation of a lifestyle change intervention to prevent or delay type 2 diabetes in individuals with prediabetes. Methods: We used the Knowledge to Action framework, which was developed to map how science is translated into effective health programs, to examine how the evidence‐based intervention from the 2002 Diabetes Prevention Program trial was translated into the Centers for Disease Control and Prevention's large‐scale National Diabetes Prevention Program, eventually resulting in payment for the lifestyle intervention as a Medicare‐covered service. Findings: Key findings of our analysis include the importance of a collaboration among researchers, policymakers, and payers to encourage early adopters; development of evidence‐based, national standards to support widespread adoption of the intervention; and use of public input from community organizations to scale the intervention to a national level. Conclusions: This analysis offers timely lessons for other high‐value, scalable interventions attempting to move beyond the evidence‐gathering phase and into translation and institutionalization. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|