Lifestyle Medicine in Diabetes Care: The Lifedoc Health Model.

作者信息

Nieto-Martinez Ramfis, Neira Claudia, de Oliveira Diana, Velasquez-Rodriguez Andrés, Neira Andres, Velasquez-Rodriguez Pedro, Garcia Gabriela, González-Rivas Juan P, Mechanick Jeffrey I, Velasquez-Mieyer Pedro

机构信息

LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M); Departments of Global Health and Population and Epidemiology, Harvard TH Chan School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health, and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical Research Centre (ICRC), St Anne's University Hospital Brno (FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R. Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY, USA (JIM).

出版信息

Am J Lifestyle Med. 2022 Jun 3;17(3):336-354. doi: 10.1177/15598276221103470. eCollection 2023 May-Jun.

DOI:10.1177/15598276221103470

PMID:37304744

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10248374/

Abstract

INTRODUCTION

The relevance of lifestyle medicine in diabetes treatment is now incorporated in clinical practice guidelines but finding an exemplar for the creation of a Lifestyle Medicine Program (LMP) is a difficult task.

AIM

To use Lifedoc Health (LDH) as a LMP exemplar by describing their multidisciplinary team (MDT) approach to diabetes care along with tactics to address sustainability challenges.

RESULTS

The LDH model facilitates early activation of patients with diabetes and other cardiometabolic risk factors, MDT approaches, and protocols/policies that are able to overcome barriers to equitable healthcare in the community. Specific programmatic targets are clinical outcomes, effective dissemination, economic viability, and sustainability. Infrastructure centers on patient-driven problem-based visits, shared medical appointments, telemedicine, and patient tracking. Further discussions on program conceptualization and operationalization are provided.

CONCLUSION

Even though strategic plans for LMPs that specialize in diabetes care are well represented in the literature, implementation protocols, and performance metrics are lacking. The LDH experience provides a starting point for those healthcare professionals interested in translating ideas into action.

摘要