Lanza Andrew, Soler Robin, Smith Bryce, Hoerger Thomas, Neuwahl Simon, Zhang Ping
Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia (Mr Lanza and Drs Soler, Smith and Zhang) and RTI International, Research Triangle Park, North Carolina (Dr Hoerger and Mr Neuwahl).
J Public Health Manag Pract. 2019 Sep/Oct;25(5):E1-E5. doi: 10.1097/PHH.0000000000000961.
The National Diabetes Prevention Program lifestyle change program demonstrated health benefits and potential for health care cost-savings. For many states, employers, and insurers, there is a strong business case for paying for type 2 diabetes prevention, which will likely result in medical and nonmedical cost-savings as well as improved quality of life after a few years. Using an iterative feedback process with multiple stakeholders, the Centers for Disease Control and Prevention developed the Diabetes Prevention Impact Tool kit, https://nccd.cdc.gov/toolkit/diabetesimpact, which forecasts the cost impact the lifestyle change program can have for states, employers, and health insurers. We conducted key informant interviews and a qualitative analysis to evaluate the tool kit. We found that end users recognized its utility for decision making. They valued the detail of the tool kit's underlying calculations and appreciated the option of either using the default settings or revising assumptions based on their own data. The Diabetes Prevention Impact Tool kit can be a helpful tool for organizations that wish to forecast the economic costs and benefits of implementing or covering the National Diabetes Prevention Program lifestyle change program.
国家糖尿病预防计划生活方式改变项目显示出了健康益处以及节省医疗保健成本的潜力。对于许多州、雇主和保险公司而言，为2型糖尿病预防付费存在着强有力的商业理由，这可能会在几年后带来医疗和非医疗成本的节省以及生活质量的改善。通过与多个利益相关者进行反复反馈过程，疾病控制与预防中心开发了糖尿病预防影响工具包，网址为https://nccd.cdc.gov/toolkit/diabetesimpact，该工具包可预测生活方式改变项目对各州、雇主和健康保险公司可能产生的成本影响。我们进行了关键信息提供者访谈和定性分析以评估该工具包。我们发现最终用户认可其在决策方面有用。他们重视工具包基础计算的细节，并赞赏既可以使用默认设置也可以根据自身数据修改假设的选项。糖尿病预防影响工具包对于希望预测实施或涵盖国家糖尿病预防计划生活方式改变项目的经济成本和效益的组织而言可能是一个有用的工具。
