TY - JOUR
T1 - Lifestyle Medicine in Diabetes Care
T2 - The Lifedoc Health Model
AU - Nieto-Martinez, Ramfis
AU - Neira, Claudia
AU - de Oliveira, Diana
AU - Velasquez-Rodriguez, Andrés
AU - Neira, Andres
AU - Velasquez-Rodriguez, Pedro
AU - Garcia, Gabriela
AU - González-Rivas, Juan P.
AU - Mechanick, Jeffrey I.
AU - Velasquez-Mieyer, Pedro
N1 - Publisher Copyright:
© Copyright 2022 The Author(s).
PY - 2023/5/1
Y1 - 2023/5/1
N2 - 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.
AB - 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.
KW - dysglycemia-based chronic disease
KW - lifedoc health
KW - lifestyle medicine center
KW - lifestyle medicine program
KW - multidisciplinary team
UR - http://www.scopus.com/inward/record.url?scp=85139446196&partnerID=8YFLogxK
U2 - 10.1177/15598276221103470
DO - 10.1177/15598276221103470
M3 - Review article
AN - SCOPUS:85139446196
SN - 1559-8276
VL - 17
SP - 336
EP - 354
JO - American Journal of Lifestyle Medicine
JF - American Journal of Lifestyle Medicine
IS - 3
ER -