Ridberg Ronit A, Maitin-Shepard Melissa, Garfield Katie, Seligman Hilary K, Schwartz Pamela M, Terranova Jean, Yaroch Amy L, Mozaffarian Dariush
Food is Medicine Institute, Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United States.
MMS Health Strategies, Alexandria, VA, United States.
Am J Clin Nutr. 2024 Dec;120(6):1441-1456. doi: 10.1016/j.ajcnut.2024.09.027. Epub 2024 Oct 2.
Food is Medicine (FIM) interventions reflect the critical links between food security, nutrition security, health, and health equity, integrated into health care delivery. They comprise programs that provide nutritionally tailored food, free of charge or at a discount, to support disease management, disease prevention, or optimal health, linked to the health care system as part of a patient's treatment plan. Such programs often prioritize health equity. On 26-27 April, 2023, Tufts University's Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy and Food & Nutrition Innovation Institute held a 2-day National Food is Medicine Summit with leaders, practitioners, and individuals with diverse lived experiences in health care, research, government, advocacy, philanthropy, and the private sector to identify challenges and opportunities to sustainably incorporate FIM services into the health care system and at scale. This report of a meeting describes key themes of the Summit, based on presentations and discussions on momentum around FIM, incorporating FIM in health care, tradeoffs and unintended consequences of various FIM models, scaling of programs, financing and payment mechanisms, educating and engaging the health care workforce, and federal and state government actions and opportunities on FIM. Speakers highlighted examples of recent public and private sector actions on FIM and innovative cross-sector partnerships, including state Medicaid waivers, academic and philanthropic research initiatives, health care system screenings and interventions, and collaborations including community-based organizations and/or entities outside of the food and health care sectors. Challenges and opportunities to broader implementation and scaling of FIM programs identified include incorporating FIM into health care business models, educating the health care workforce, and sustainably scaling FIM programs while leveraging the local connections of community-based organizations. This meeting report highlights recent advances, best practices, challenges, and opportunities discussed at the National Summit to inform future actions on FIM.
食物即药物（FIM）干预措施反映了粮食安全、营养安全、健康和健康公平之间的关键联系，并已融入医疗服务之中。这些措施包括一些项目，它们免费或以折扣价提供营养定制食品，以支持疾病管理、疾病预防或促进最佳健康状态，并作为患者治疗计划的一部分与医疗系统相联系。此类项目通常将健康公平作为优先事项。2023年4月26日至27日，塔夫茨大学的杰拉尔德·J·弗里德曼和多萝西·R·弗里德曼营养科学与政策学院以及食品与营养创新研究所举办了为期两天的全国食物即药物峰会，与会者包括医疗保健、研究、政府、倡导、慈善和私营部门的领导者、从业者以及有不同生活经历的个人，旨在确定将FIM服务可持续地纳入医疗系统并扩大规模所面临的挑战和机遇。本会议报告基于关于FIM发展态势、将FIM纳入医疗保健、各种FIM模式的权衡与意外后果、项目扩展、融资和支付机制、对医疗保健人员的教育与参与，以及联邦和州政府在FIM方面的行动与机遇的演讲和讨论，描述了峰会的关键主题。发言者强调了近期公共和私营部门在FIM方面的行动以及创新的跨部门伙伴关系的实例，包括州医疗补助豁免、学术和慈善研究倡议、医疗系统筛查和干预措施，以及包括社区组织和/或食品与医疗保健部门以外实体的合作。确定的FIM项目更广泛实施和扩展所面临的挑战与机遇包括将FIM纳入医疗保健商业模式、对医疗保健人员进行教育，以及在利用社区组织的本地联系的同时可持续地扩大FIM项目规模。本会议报告突出了全国峰会上讨论的最新进展、最佳实践、挑战和机遇，以为未来FIM行动提供参考。
