Lifestyle Medicine in Diabetes Care: The Lifedoc Health Model.

Am J Lifestyle Med

LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M); Departments of Global Health and Population and Epidemiology, Harvard TH Chan School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health, and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical Research Centre (ICRC), St Anne's University Hospital Brno (FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R. Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY, USA (JIM).

Published: June 2022

AI Article Synopsis

  • - The text discusses the importance of lifestyle medicine in treating diabetes and highlights the difficulty of finding a successful model for creating a Lifestyle Medicine Program (LMP).
  • - Lifedoc Health (LDH) is presented as a successful example, utilizing a multidisciplinary team approach to enhance diabetes care, addressing sustainability challenges, and focusing on patient engagement and equitable healthcare.
  • - While there are many strategic plans for LMPs in diabetes care in literature, there is a gap in practical implementation and performance metrics; the LDH experience serves as a useful starting point for healthcare professionals seeking to take action.

Article Abstract

Introduction: The relevance of lifestyle medicine in diabetes treatment is now incorporated in clinical practice guidelines but finding an exemplar for the creation of a Lifestyle Medicine Program (LMP) is a difficult task.

Aim: To use Lifedoc Health (LDH) as a LMP exemplar by describing their multidisciplinary team (MDT) approach to diabetes care along with tactics to address sustainability challenges.

Results: The LDH model facilitates early activation of patients with diabetes and other cardiometabolic risk factors, MDT approaches, and protocols/policies that are able to overcome barriers to equitable healthcare in the community. Specific programmatic targets are clinical outcomes, effective dissemination, economic viability, and sustainability. Infrastructure centers on patient-driven problem-based visits, shared medical appointments, telemedicine, and patient tracking. Further discussions on program conceptualization and operationalization are provided.

Conclusion: Even though strategic plans for LMPs that specialize in diabetes care are well represented in the literature, implementation protocols, and performance metrics are lacking. The LDH experience provides a starting point for those healthcare professionals interested in translating ideas into action.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10248374PMC
http://dx.doi.org/10.1177/15598276221103470DOI Listing

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