An Integrated Framework For The Prevention And Treatment Of Obesity And Its Related Chronic Diseases.

Journal Article (Journal Article;Review)

Improved patient experience, population health, and reduced cost of care for patients with obesity and other chronic diseases will not be achieved by clinical interventions alone. We offer here a new iteration of the Chronic Care Model that integrates clinical and community systems to address chronic diseases. Obesity contributes substantially to cardiovascular disease, type 2 diabetes mellitus, and cancer. Dietary and physical activity interventions will prevent, mitigate, and treat obesity and its related diseases. Challenges with the implementation of this model include provider training, the need to provide incentives for health systems to move beyond clinical care to link with community systems, and addressing the multiple elements necessary for integration within clinical care and with social systems. The Affordable Care Act, with its emphasis on prevention and new systems for care delivery, provides support for innovative strategies such as those proposed here.

Full Text

Duke Authors

Cited Authors

  • Dietz, WH; Solomon, LS; Pronk, N; Ziegenhorn, SK; Standish, M; Longjohn, MM; Fukuzawa, DD; Eneli, IU; Loy, L; Muth, ND; Sanchez, EJ; Bogard, J; Bradley, DW

Published Date

  • September 2015

Published In

Volume / Issue

  • 34 / 9

Start / End Page

  • 1456 - 1463

PubMed ID

  • 26355046

Electronic International Standard Serial Number (EISSN)

  • 1544-5208

Digital Object Identifier (DOI)

  • 10.1377/hlthaff.2015.0371


  • eng

Conference Location

  • United States