O Kenrik Duru1, Carol M Mangione2, Hector P Rodriguez3, Dennis Ross-Degnan4, J Frank Wharam4, Bernard Black5, Abel Kho6, Nathalie Huguet7, Heather Angier7, Victoria Mayer8, David Siscovick9, Jennifer L Kraschnewski10, Lizheng Shi11, Elizabeth Nauman12, Edward W Gregg13, Mohammed K Ali13,14, Pamela Thornton15, Steven Clauser16. 1. Division of General Internal Medicine & Health Services Research, David Geffen School of Medicine, UCLA, 10940 Wilshire Blvd., Suite 700, Los Angeles, CA, 90024, USA. kduru@mednet.ucla.edu. 2. David Geffen School of Medicine at UCLA and Fielding School of Public Health, UCLA, Los Angeles, CA, USA. 3. School of Public Health - Health Policy and Management, University of California, Berkeley, Berkeley, CA, USA. 4. Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA. 5. Pritzker School of Law, Institute for Policy Research, and Kellogg School of Management, Northwestern University, Evanston, IL, USA. 6. Institute of Public Health & Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. 7. Oregon Health & Science University, Portland, OR, USA. 8. Department of Population Health Science and Policy, Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA. 9. The New York Academy of Medicine, New York, NY, USA. 10. Department of Medicine, Pediatrics and Public Health Sciences, Pennsylvania State University College of Medicine at Hershey Medical Center, Hershey, PA, USA. 11. School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA. 12. Louisiana Public Health Institute, New Orleans, LA, USA. 13. Centers for Disease Control and Prevention, Division of Diabetes Translation, Atlanta, GA, USA. 14. Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. 15. Division of Diabetes, Endocrinology, and Metabolic Diseases, National Institute of Diabetes and Digestive and Kidney Disease, Bethesda, MD, USA. 16. Health Care Delivery and Disparities Research Program, Patient-Centered Outcomes Research Institute, Washington, DC, USA.
Abstract
PURPOSE OF REVIEW: Diabetes incidence is rising among vulnerable population subgroups including minorities and individuals with limited education. Many diabetes-related programs and public policies are unevaluated while others are analyzed with research designs highly susceptible to bias which can result in flawed conclusions. The Natural Experiments for Translation in Diabetes 2.0 (NEXT-D2) Network includes eight research centers and three funding agencies using rigorous methods to evaluate natural experiments in health policy and program delivery. RECENT FINDINGS: NEXT-D2 research studies use quasi-experimental methods to assess three major areas as they relate to diabetes: health insurance expansion; healthcare financing and payment models; and innovations in care coordination. The studies will report on preventive processes, achievement of diabetes care goals, and incidence of complications. Some studies assess healthcare utilization while others focus on patient-reported outcomes. NEXT-D2 examines the effect of public and private policies on diabetes care and prevention at a critical time, given ongoing and rapid shifts in the US health policy landscape.
PURPOSE OF REVIEW: Diabetes incidence is rising among vulnerable population subgroups including minorities and individuals with limited education. Many diabetes-related programs and public policies are unevaluated while others are analyzed with research designs highly susceptible to bias which can result in flawed conclusions. The Natural Experiments for Translation in Diabetes 2.0 (NEXT-D2) Network includes eight research centers and three funding agencies using rigorous methods to evaluate natural experiments in health policy and program delivery. RECENT FINDINGS: NEXT-D2 research studies use quasi-experimental methods to assess three major areas as they relate to diabetes: health insurance expansion; healthcare financing and payment models; and innovations in care coordination. The studies will report on preventive processes, achievement of diabetes care goals, and incidence of complications. Some studies assess healthcare utilization while others focus on patient-reported outcomes. NEXT-D2 examines the effect of public and private policies on diabetes care and prevention at a critical time, given ongoing and rapid shifts in the US health policy landscape.
Entities:
Keywords:
Health outcomes; Health policy; Patient engagement; Quasi-experimental; Research dissemination; Socio-ecologic framework
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