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Current Diabetes Reports
Published in: Current Diabetes Reports 7/2017

01-07-2017 | Hospital Management of Diabetes (A Wallia and JJ Seley, Section Editors)

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

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

Published in: Current Diabetes Reports | Issue 7/2017

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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.
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Metadata
Title
The Case for Diabetes Population Health Improvement: Evidence-Based Programming for Population Outcomes in Diabetes
Authors
Sherita Hill Golden
Nisa Maruthur
Nestoras Mathioudakis
Elias Spanakis
Daniel Rubin
Mihail Zilbermint
Felicia Hill-Briggs
Publication date
01-07-2017
Publisher
Springer US
Published in
Current Diabetes Reports / Issue 7/2017
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-017-0875-2

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Current Diabetes Reports 7/2017 Go to the issue

Immunology, Transplantation, and Regenerative Medicine (L Piemonti and V Sordi, Section Editors)

Combination Immunotherapy for Type 1 Diabetes

Psychosocial Aspects (S Jaser, Section Editor)

Assessing Psychological Insulin Resistance in Type 2 Diabetes: a Critical Comparison of Measures

Psychosocial Aspects (S Jaser, Section Editor)

Psychosocial Patient-Reported Outcomes in Pediatric and Adolescent Diabetes: a Review and Case Example

Hospital Management of Diabetes (A Wallia and JJ Seley, Section Editors)

Practical Recommendations for Transitioning Patients with Type 2 Diabetes from Hospital to Home

Lifestyle Management to Reduce Diabetes/Cardiovascular Risk (B Conway and H Keenan, Section Editors)

Microvascular Complications Associated With Rapid Improvements in Glycemic Control in Diabetes

Microvascular Complications—Nephropathy (M Afkarian, Section Editor)

Regulating Autophagy as a Therapeutic Target for Diabetic Nephropathy
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