Summary
The prevalence of chronic conditions (e.g., diabetes, hypertension, and obesity) in the U.S. has increased considerably over the past 30 years, with corresponding increases in associated medical costs. Recently, several innovative models of disease prevention have been implemented nationwide. These emerging models take aim at curtailing the growing rates of diabetes and cardiovascular disease in underserved communities.
This policy note discusses the innovations and nuances of these models, focusing on two key issues regarding their use in disease prevention: First, how can we meaningfully measure the health impact of these programs at the population level? And second, how can we ensure that these programs are sustainable once grant funding ends? Specifically, three models of practice are discussed: (1) the National Diabetes Prevention Program, (2) the emerging workforce of community health workers, and (3) the accountable health communities model.