Year: 2022
Type: article
Abstract: Progress in the prevention and treatment of type 2 diabetes-the dominant form of diabetes-appears to have stalled in the US over the past decade, and diabetes-related morbidity has increased nationally. The most geographically and socioeconomically disadvantaged segments of the population have been especially hard hit, and interventions that reduce the risk for diabetes have not reached these populations. In this overview article we lay out how fragmentation in health policy and governance, payers and reimbursement design, and service delivery in the US has contributed to low accountability and coordination, and thus stagnation and persistent inequities. We also review the evidence regarding past, ongoing, and new reforms that may help address fragmentation, lower diabetes burdens, and narrow disparities.
Source: Health Affairs
Language: English
Subfield: Economics and Econometrics
Domain: Social Sciences
Open Access status: green
Funders: National Institutes of Health, Centers for Disease Control and Prevention, National Institute on Aging, National Heart, Lung, and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases, National Center for Chronic Disease Prevention and Health Promotion, National Center for Advancing Translational Sciences, Clinical and Translational Science Institute, University of California, Los Angeles
Awards: G1486348728, G1850079884, G2050812788, G2129046653, G2129397377, G2334180555, G3124782280, G343705321, G3460512114, G3558427116, Multi-ethnic Multi-level Strategies and Behavioral Economics to Eliminate Hypertension Disparities in LA County., G4786478726, G562934659, Putting Telehealth to the Test: An Evaluation of the Use of Telehealth to Increase the Population-Level Impact of an Employer-Based Diabetes Prevention Program, G5801590742, G644685673, ACE-D: ASSESS INSURANCE COVERAGE EXPANSION ON DIABETES COMPLICATIONS, G67549176, A PRAGMATIC NATIONWIDE RCT OF COORDINATED MEDICAL, BEHAVIORAL, AND SOCIAL SERVICES TO IMPROVE CARE AND UTILIZATION AMONG HIGH-COST, HIGH-NEED INSURED PATIENTS WITH DIABETES, G7816414715, G837983217, G9000031392, G9000139132, G9000166197, G9000179878, Center for Health Innovation and Maximizing Elder Care, Georgia Center for Diabetes Translation Research
OpenAlex ID: W4283689808