The State of Diabetes Prevention Policy in the USA Following the Affordable Care Act

被引：13
作者：
Konchak, Juleigh Nowinski [1 ]
Moran, Margaret R. [2 ]
O'Brien, Matthew J. [2 ]
Kandula, Namratha R. [2 ,3 ]
Ackermann, Ronald T. [2 ]
机构：
[1] Cook Cty Hlth & Hosp Syst, Prevent Med Residency, 1900 W Polk St,Room 901, Chicago, IL 60612 USA
[2] Feinberg Sch Med, Dept Med, 750 N Lake Shore Dr,Suite 680, Chicago, IL 60611 USA
[3] Amer Med Assoc, Improving Hlth Outcomes, 330 N Wabash, Chicago, IL 60611 USA
来源：
CURRENT DIABETES REPORTS | 2016年 / 16卷 / 06期
基金：
美国国家卫生研究院;
关键词：
Diabetes; Prediabetes; Primary prevention; Health policy; Affordable Care Act; COMPARATIVE EFFECTIVENESS TRIAL; LIFE-STYLE INTERVENTIONS; PHYSICAL-ACTIVITY; HEALTH-POLICY; RISK-FACTORS; MELLITUS; ADULTS; SERVICES; GLUCOSE; OBESITY;
D O I：
10.1007/s11892-016-0742-6
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Type 2 diabetes is a major public health problem in the USA, affecting over 12 % of American adults and imposing considerable health and economic burden on individuals and society. There is a strong evidence base demonstrating that lifestyle behavioral changes and some medications can prevent or delay the onset of type 2 diabetes in high risk adults, and several policy and healthcare system changes motivated by the Patient Protection and Affordable Care Act (ACA) have the potential to accelerate diabetes prevention. In this narrative review, we (1) offer a conceptual framework for organizing how the ACA may influence diabetes prevention efforts at the level of individuals, healthcare providers, and health systems; (2) highlight ACA provisions at each of these levels that could accelerate type 2 diabetes prevention nationwide; and (3) explore possible policy gaps and opportunity areas for future research and action.
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页数：12
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