1. An Integrated Framework For The Prevention And Treatment Of Obesity And Its Related Chronic Diseases.
- Author
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Dietz WH, Solomon LS, Pronk N, Ziegenhorn SK, Standish M, Longjohn MM, Fukuzawa DD, Eneli IU, Loy L, Muth ND, Sanchez EJ, Bogard J, and Bradley DW
- Subjects
- Attitude to Health, Chronic Disease prevention & control, Chronic Disease therapy, Comorbidity, Humans, Male, Needs Assessment, Obesity, Morbid prevention & control, Obesity, Morbid therapy, Organizational Innovation, United States, Delivery of Health Care, Integrated organization & administration, Health Promotion organization & administration, Obesity prevention & control, Obesity therapy, Preventive Health Services organization & administration
- Abstract
Improved patient experience, population health, and reduced cost of care for patients with obesity and other chronic diseases will not be achieved by clinical interventions alone. We offer here a new iteration of the Chronic Care Model that integrates clinical and community systems to address chronic diseases. Obesity contributes substantially to cardiovascular disease, type 2 diabetes mellitus, and cancer. Dietary and physical activity interventions will prevent, mitigate, and treat obesity and its related diseases. Challenges with the implementation of this model include provider training, the need to provide incentives for health systems to move beyond clinical care to link with community systems, and addressing the multiple elements necessary for integration within clinical care and with social systems. The Affordable Care Act, with its emphasis on prevention and new systems for care delivery, provides support for innovative strategies such as those proposed here., (Project HOPE—The People-to-People Health Foundation, Inc.)
- Published
- 2015
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