Cargando…

The National Clinical Care Commission Report to Congress: Leveraging Federal Policies and Programs to Improve Diabetes Treatment and Reduce Complications

The Treatment and Complications subcommittee of the National Clinical Care Commission focused on factors likely to improve the delivery of high-quality care to all people with diabetes. The gap between available resources and the needs of people living with diabetes adversely impacts both treatment...

Descripción completa

Detalles Bibliográficos
Autores principales: Greenlee, M. Carol, Bolen, Shari, Chong, William, Dokun, Ayotunde, Gonzalvo, Jasmine, Hawkins, Meredith, Herman, William H., Leake, Ellen, Linder, Barbara, Conlin, Paul R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Diabetes Association 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9887628/
https://www.ncbi.nlm.nih.gov/pubmed/36701593
http://dx.doi.org/10.2337/dc22-0621
_version_ 1784880379057930240
author Greenlee, M. Carol
Bolen, Shari
Chong, William
Dokun, Ayotunde
Gonzalvo, Jasmine
Hawkins, Meredith
Herman, William H.
Leake, Ellen
Linder, Barbara
Conlin, Paul R.
author_facet Greenlee, M. Carol
Bolen, Shari
Chong, William
Dokun, Ayotunde
Gonzalvo, Jasmine
Hawkins, Meredith
Herman, William H.
Leake, Ellen
Linder, Barbara
Conlin, Paul R.
author_sort Greenlee, M. Carol
collection PubMed
description The Treatment and Complications subcommittee of the National Clinical Care Commission focused on factors likely to improve the delivery of high-quality care to all people with diabetes. The gap between available resources and the needs of people living with diabetes adversely impacts both treatment and outcomes. The Commission’s recommendations are designed to bridge this gap. At the patient level, the Commission recommends reducing barriers and streamlining administrative processes to improve access to diabetes self-management training, diabetes devices, virtual care, and insulin. At the practice level, we recommend enhancing programs that support team-based care and developing capacity to support technology-enabled mentoring interventions. At the health system level, we recommend that the Department of Health and Human Services routinely assess the needs of the health care workforce and ensure funding of training programs directed to meet those needs. At the health policy level, we recommend establishing a process to identify and ensure pre-deductible insurance coverage for high-value diabetes treatments and services and developing a quality measure that reduces risk of hypoglycemia and enhances patient safety. We also identified several areas that need additional research, such as studying the barriers to uptake of diabetes self-management education and support, exploring methods to implement team-based care, and evaluating the importance of digital connectivity as a social determinant of health. The Commission strongly encourages Congress, the Department of Health and Human Services, and other federal departments and agencies to take swift action to implement these recommendations to improve health outcomes and quality of life among people living with diabetes.
format Online
Article
Text
id pubmed-9887628
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher American Diabetes Association
record_format MEDLINE/PubMed
spelling pubmed-98876282023-02-08 The National Clinical Care Commission Report to Congress: Leveraging Federal Policies and Programs to Improve Diabetes Treatment and Reduce Complications Greenlee, M. Carol Bolen, Shari Chong, William Dokun, Ayotunde Gonzalvo, Jasmine Hawkins, Meredith Herman, William H. Leake, Ellen Linder, Barbara Conlin, Paul R. Diabetes Care The National Clinical Care Commission Report to Congress The Treatment and Complications subcommittee of the National Clinical Care Commission focused on factors likely to improve the delivery of high-quality care to all people with diabetes. The gap between available resources and the needs of people living with diabetes adversely impacts both treatment and outcomes. The Commission’s recommendations are designed to bridge this gap. At the patient level, the Commission recommends reducing barriers and streamlining administrative processes to improve access to diabetes self-management training, diabetes devices, virtual care, and insulin. At the practice level, we recommend enhancing programs that support team-based care and developing capacity to support technology-enabled mentoring interventions. At the health system level, we recommend that the Department of Health and Human Services routinely assess the needs of the health care workforce and ensure funding of training programs directed to meet those needs. At the health policy level, we recommend establishing a process to identify and ensure pre-deductible insurance coverage for high-value diabetes treatments and services and developing a quality measure that reduces risk of hypoglycemia and enhances patient safety. We also identified several areas that need additional research, such as studying the barriers to uptake of diabetes self-management education and support, exploring methods to implement team-based care, and evaluating the importance of digital connectivity as a social determinant of health. The Commission strongly encourages Congress, the Department of Health and Human Services, and other federal departments and agencies to take swift action to implement these recommendations to improve health outcomes and quality of life among people living with diabetes. American Diabetes Association 2023-02 2023-01-26 /pmc/articles/PMC9887628/ /pubmed/36701593 http://dx.doi.org/10.2337/dc22-0621 Text en © 2023 by the American Diabetes Association https://www.diabetesjournals.org/journals/pages/licenseReaders may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at https://www.diabetesjournals.org/journals/pages/license.
spellingShingle The National Clinical Care Commission Report to Congress
Greenlee, M. Carol
Bolen, Shari
Chong, William
Dokun, Ayotunde
Gonzalvo, Jasmine
Hawkins, Meredith
Herman, William H.
Leake, Ellen
Linder, Barbara
Conlin, Paul R.
The National Clinical Care Commission Report to Congress: Leveraging Federal Policies and Programs to Improve Diabetes Treatment and Reduce Complications
title The National Clinical Care Commission Report to Congress: Leveraging Federal Policies and Programs to Improve Diabetes Treatment and Reduce Complications
title_full The National Clinical Care Commission Report to Congress: Leveraging Federal Policies and Programs to Improve Diabetes Treatment and Reduce Complications
title_fullStr The National Clinical Care Commission Report to Congress: Leveraging Federal Policies and Programs to Improve Diabetes Treatment and Reduce Complications
title_full_unstemmed The National Clinical Care Commission Report to Congress: Leveraging Federal Policies and Programs to Improve Diabetes Treatment and Reduce Complications
title_short The National Clinical Care Commission Report to Congress: Leveraging Federal Policies and Programs to Improve Diabetes Treatment and Reduce Complications
title_sort national clinical care commission report to congress: leveraging federal policies and programs to improve diabetes treatment and reduce complications
topic The National Clinical Care Commission Report to Congress
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9887628/
https://www.ncbi.nlm.nih.gov/pubmed/36701593
http://dx.doi.org/10.2337/dc22-0621
work_keys_str_mv AT greenleemcarol thenationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT bolenshari thenationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT chongwilliam thenationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT dokunayotunde thenationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT gonzalvojasmine thenationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT hawkinsmeredith thenationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT hermanwilliamh thenationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT leakeellen thenationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT linderbarbara thenationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT conlinpaulr thenationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT greenleemcarol nationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT bolenshari nationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT chongwilliam nationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT dokunayotunde nationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT gonzalvojasmine nationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT hawkinsmeredith nationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT hermanwilliamh nationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT leakeellen nationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT linderbarbara nationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications
AT conlinpaulr nationalclinicalcarecommissionreporttocongressleveragingfederalpoliciesandprogramstoimprovediabetestreatmentandreducecomplications