Evidence map›Paper›PMID 34784149›Full record

ArticleThe American journal of managed care2021

Challenges with implementing the Diabetes Prevention Program for Medicare beneficiaries in an integrated health system.

Inga Gruß, Alison Firemark, Dea Papajorgji-Taylor, Stephanie L Fitzpatrick

Abstract read
In one paragraph

Article in The American journal of managed care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Inga GrußCenter for Health Research, Kaiser Permanente Northwest, 3800 N Interstate Ave, Portland, OR 97227. Email: inga.gruss@kpchr.org.
Alison Firemark
Dea Papajorgji-Taylor
Stephanie L Fitzpatrick

Funding

Evaluating the implementation of the diabetes prevention program in an integrated health systemR01DK115237 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI FITZPATRICK, STEPHANIE LENAY, FORTMANN, STEPHEN PAUL · 2017 to 2020
$1.9M
NIDDK NIH HHS R01 DK115237
6 · The paper itself

Abstract

objectivesIn April 2018, CMS began reimbursing both clinical and community settings for providing the CDC-recognized Diabetes Prevention Program (DPP) to eligible Medicare beneficiaries. To better understand the process of offering the program to Medicare beneficiaries, we interviewed relevant stakeholders in a large, integrated health care delivery system. STUDY

designQualitative interview study.

methodsWe conducted semistructured interviews with 12 delivery system stakeholders. Data were analyzed following a thematic analysis approach.

resultsStakeholders described systemic challenges to the implementation of Medicare DPP (MDPP), including inadequate reimbursement for the health care system, low awareness of MDPP among patients and providers, and challenges with utilizing third-party vendors to connect patients to CDC-recognized MDPPs.

conclusionsAlthough the reimbursement of DPP for Medicare beneficiaries was a landmark decision, the current structure and requirements make it difficult for health systems and community-based providers to implement and promote this benefit. This study highlights the challenges that even integrated health systems are facing to implement MDPP, as well as potential strategies to overcome these barriers and expand the reach of the program. Medicare should seek ways to increase the financial incentives and decrease the barriers associated with implementing MDPP.

Indexed as

Delivery of Health Care, IntegratedDiabetes Mellitus, Type 2AgedHumansMedicareUnited States

Identifiers

PMID34784149
PMCPMC9574419

What OpenQuestion holds

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LicenceTDM
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.