Purpose of review
Population care approaches for diabetes have the potential to improve the quality of care and decrease diabetes-related mortality and morbidity. Population care strategies are particularly relevant as Accountable Care Organizations (ACOs), Patient Centered Medical Homes (PCMH), and integrated delivery systems are increasingly focused on managing chronic disease care at the health system level. This review outlines the key elements of population care approaches for diabetes in the current health care environment.
Recent findings
Population care approaches proactively identify diabetes patients through disease registries and electronic health record data and utilize multi-disciplinary care teams, personalized provider feedback, and decision support tools to target and care for patients at risk for poor outcomes. Existing evidence suggests that these strategies can improve care outcomes and potentially ameliorate existing race/ethnic disparities in health care. However, such strategies may be less effective for patients who are disengaged from the health care system.
Summary
As population care for diabetes continues to evolve, future initiatives should consider ways to tailor population care to meet individual patient needs, while leveraging improvements in clinical information systems and care integration to optimally manage and prevent diabetes in the future.
participated in the study design, data collection, analysis of data, and drafting of the final manuscript. Alyce A Adams, PhD, participated in the study design, analysis of data, and drafting of the final manuscript. Lin Ma, MA, participated in the study design, acquisition and analysis of data, and drafting of the final manuscript. Andrea Altschuler, PhD, participated in the study design, data collection, analysis of data, and drafting of the final manuscript. Mark Lin, MD, MPH, participated in the study design and drafting of the final manuscript. Nailah Thompson, DO, MPH, participated in the study design and drafting of the final manuscript. Joseph Young, MD, participated in the study design and drafting of the final manuscript.
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