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- Title
Lifestyle Medicine in Diabetes Care: The Lifedoc Health Model.
- Authors
Nieto-Martinez, Ramfis; Neira, Claudia; de Oliveira, Diana; Velasquez-Rodriguez, Andrés; Neira, Andres; Velasquez-Rodriguez, Pedro; Garcia, Gabriela; González-Rivas, Juan P.; Mechanick, Jeffrey I.; Velasquez-Mieyer, Pedro
- 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.
- Subjects
PREVENTION of obesity; DIABETES prevention; TREATMENT of diabetes; DIABETES risk factors; LIFESTYLES; MEDICINE; CARDIOVASCULAR diseases risk factors; CULTURE; HEALTH services accessibility; ECONOMIC impact; MEDICAL care; GROUP medical appointments; LABORATORIES; TREATMENT effectiveness; HUMAN services programs; HEALTH care teams; COMMUNICATION; MEDICAL referrals; CULTURAL competence; OCCUPATIONAL adaptation; TELEMEDICINE; CONCEPTS
- Publication
American Journal of Lifestyle Medicine, 2023, Vol 17, Issue 3, p336
- ISSN
1559-8276
- Publication type
Article
- DOI
10.1177/15598276221103470