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Stakeholder analysis: Medicare Diabetes Prevention Program awareness and implementation.
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- Author(s): Turk MT;Turk MT; Ritchie ND; Jakub K
- Source:
The American journal of managed care [Am J Manag Care] 2023 Jun; Vol. 29 (6), pp. 308-312.- Publication Type:
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: Clinical Care Targeted Communications Group, LLC Country of Publication: United States NLM ID: 9613960 Publication Model: Print Cited Medium: Internet ISSN: 1936-2692 (Electronic) Linking ISSN: 10880224 NLM ISO Abbreviation: Am J Manag Care
- Publication Information: Publication: Cranbury, NJ : Clinical Care Targeted Communications Group, LLC
Original Publication: Old Bridge, NJ : American Medical Pub., c1995- - Subject Terms:
- Abstract: Objectives: The Medicare Diabetes Prevention Program (MDPP) provides unprecedented coverage of a behavior change program for older adult Medicare beneficiaries, but uptake has been extremely limited; only 1.5 sites deliver the program per 100,000 beneficiaries nationwide. Inadequate reach and utilization of the MDPP threaten its long-term success; thus, the purpose of this project was to determine facilitators and barriers to MDPP implementation and use in western Pennsylvania.
Study Design: We conducted a qualitative stakeholder analysis project with suppliers of the MDPP and health care providers.
Methods: Using an implementation science framework, we conducted individual interviews with 5 program suppliers and 3 health care providers (Nā=ā8) to determine their perspectives on positive aspects of the program and reasons for MDPP unavailability and lack of use. Data were analyzed using Thorne and colleagues' approach of interpretive description.
Results: Three main themes emerged: (1) facilitators and attributes of the MDPP, (2) barriers to MDPP implementation, and (3) suggestions for improvement. Facilitators of the program included technical support and webinars from Medicare to assist with the application process. Barriers such as financial reimbursement constraints and a lack of a systematic referral process were noted. Stakeholders suggested refinements to participant eligibility and performance-based payments, a seamless method of flagging and referring patients through the electronic health record, and ongoing virtual program delivery options.
Conclusions: Findings from this project can be used to improve implementation of the MDPP in western Pennsylvania, support Medicare policy refinement, and inform implementation research to promote broader adoption of the MDPP across the United States. - References: Diabetes Care Educ Newsl. 2012 Summer;33(4):4-7. (PMID: 26451082)
Ann Intern Med. 2015 Dec 1;163(11):861-8. (PMID: 26501513)
Diabetes Spectr. 2018 Nov;31(4):303-309. (PMID: 30510384)
Am J Prev Med. 2019 Mar;56(3):452-457. (PMID: 30661888)
Implement Sci. 2009 Aug 07;4:50. (PMID: 19664226)
JAMA Netw Open. 2021 Oct 1;4(10):e2128797. (PMID: 34623412)
Med Care. 2018 Nov;56(11):908-911. (PMID: 30312286)
Diabetes Care. 2017 Oct;40(10):1331-1341. (PMID: 28500215)
Am J Prev Med. 2018 Aug;55(2):e39-e47. (PMID: 29934016)
Am J Manag Care. 2021 Nov 1;27(11):e400-e403. (PMID: 34784149)
Am J Manag Care. 2018 Oct;24(10):475-478. (PMID: 30325189)
J Aging Health. 2018 Jun;30(5):692-710. (PMID: 28553807)
Fed Regist. 2017 Nov 15;82(219):52976-3371. (PMID: 29231695)
Am J Manag Care. 2020 Jun 1;26(6):e198-e201. (PMID: 32549070)
N Engl J Med. 2002 Feb 7;346(6):393-403. (PMID: 11832527)
Res Nurs Health. 1997 Apr;20(2):169-77. (PMID: 9100747) - Grant Information: R01 DK119478 United States DK NIDDK NIH HHS
- Publication Date: Date Created: 20230621 Date Completed: 20230623 Latest Revision: 20240603
- Publication Date: 20240603
- Accession Number: PMC10287029
- Accession Number: 10.37765/ajmc.2023.89372
- Accession Number: 37341978
- Source:
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