Diabetes And The Fragmented State Of US Health Care And Policy

Details

• Alternative Title:
  Health Aff (Millwood)
• Personal Author:
  Chehal, Puneet Kaur ; Selvin, Elizabeth ; DeVoe, Jennifer E. ; Mangione, Carol M. ; Ali, Mohammed K.
• Description:
  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.
• Subjects:
  Article Delivery Of Health Care Diabetes Mellitus, Type 2 Health Facilities Health Policy Humans Social Responsibility
• Source:
  Health Aff (Millwood). 41(7):939-946
• Pubmed ID:
  35759725
• Pubmed Central ID:
  PMC10420383
• Document Type:
  Journal Article
• Funding:
  P30 DK111024/DK/NIDDK NIH HHSUnited States/ ; U18DP006536/ACL/ACL HHSUnited States/ ; R01 HL136575/HL/NHLBI NIH HHSUnited States/ ; U18 DP006534/DP/NCCDPHP CDC HHSUnited States/ ; UG3 HL154302/HL/NHLBI NIH HHSUnited States/ ; U18DP006534/ACL/ACL HHSUnited States/ ; U18 DP006535/DP/NCCDPHP CDC HHSUnited States/ ; UL1 TR001881/TR/NCATS NIH HHSUnited States/ ; R01 DK120814/DK/NIDDK NIH HHSUnited States/ ; U18DP006535/ACL/ACL HHSUnited States/ ; R01 DK127733/DK/NIDDK NIH HHSUnited States/ ; R01 DK124503/DK/NIDDK NIH HHSUnited States/ ; P30 AG021684/AG/NIA NIH HHSUnited States/ ; U18 DP006536/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  41
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:53eb7ac35d6ea3f6605970824176a5139a5f80ef4d31f21669a98dca57f351cb
• Download URL:
  https://stacks.cdc.gov/view/cdc/131955/cdc_131955_DS1.pdf
• File Type:
  [PDF - 90.99 KB ]