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首页> 外文期刊>The Milbank quarterly >Translating Knowledge into Action to Prevent Type 2 Diabetes: Medicare Expansion of the National Diabetes Prevention Program Lifestyle Intervention
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Translating Knowledge into Action to Prevent Type 2 Diabetes: Medicare Expansion of the National Diabetes Prevention Program Lifestyle Intervention

机译：将知识转化为行动以防止2型糖尿病：Medicare扩大国家糖尿病预防计划生活方式干预

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Policy Points Although preventable chronic conditions such as type 2 diabetes carry a significant cost and health burden, few lifestyle interventions have been scaled at a national policy level. The translation of the National Diabetes Prevention Program lifestyle intervention from research to a Medicare‐covered service can serve as a model for national adoption of other interventions that have the potential to improve population health. The successful translation of the National Diabetes Prevention Program has depended on the collaboration of government agencies, academic researchers, community‐based healthcare providers, payers, and other parties. Context Many evidence‐based health interventions never achieve national implementation. This article analyzes factors that supported the translation and national implementation of a lifestyle change intervention to prevent or delay type 2 diabetes in individuals with prediabetes. Methods We used the Knowledge to Action framework, which was developed to map how science is translated into effective health programs, to examine how the evidence‐based intervention from the 2002 Diabetes Prevention Program trial was translated into the Centers for Disease Control and Prevention's large‐scale National Diabetes Prevention Program, eventually resulting in payment for the lifestyle intervention as a Medicare‐covered service. Findings Key findings of our analysis include the importance of a collaboration among researchers, policymakers, and payers to encourage early adopters; development of evidence‐based, national standards to support widespread adoption of the intervention; and use of public input from community organizations to scale the intervention to a national level. Conclusions This analysis offers timely lessons for other high‐value, scalable interventions attempting to move beyond the evidence‐gathering phase and into translation and institutionalization.
机译：政策要点虽然预防慢性条件如2型糖尿病，但仍有重大成本和保健负担，但很少有生活方式干预措施在国家政策层面上进行了规模。国家糖尿病预防计划的翻译从研究到医疗保险服务覆盖的服务的生活方式干预可以作为国家采用其他有可能改善人口健康的其他干预措施的模型。国家糖尿病预防计划的成功翻译取决于政府机构，学术研究人员，社区医疗保健提供者，付款人和其他各方的合作。背景信息许多基于证据的健康干预措施从未实现国家实施。本文分析了支持翻译和国家实施生活方式改变干预的因素，以防止或延迟患有前奶奶油的个人2糖尿病。方法采用了对行动框架的知识，该方法是为映射科学的转化为有效的健康计划，以研究2002年糖尿病预防计划审判的证据干预如何转化为疾病控制和预防的中心规模国家糖尿病预防计划，最终导致为生活方式干预作为医疗保险的服务付款。调查结果我们分析的主要结果包括研究人员，政策制定者和付款人之间合作的重要性，以鼓励早期采用者;发展证据的国家标准，以支持广泛采用干预;从社区组织的公共投入使用公共意见，将干预扩展到国家一级。结论该分析为其他高价值，试图超越证据收集阶段并进入翻译和制度化而提供及时课程。

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