Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal

Chronic disease places an enormous economic burden on both individuals and the healthcare system, and existing fee-for-service models of healthcare prioritize symptom management, medications, and procedures over treating the root causes of disease through changing health behaviors. Value-based care...

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Autores principales:	Kara A. Livingston, Kelly J. Freeman, Susan M. Friedman, Ron W. Stout, Liana S. Lianov, David Drozek, Jamie Shallow, Dexter Shurney, Padmaja M. Patel, Thomas M. Campbell, Kaitlyn R. Pauly, Kathryn J. Pollard, Micaela C. Karlsen
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	lifestyle medicine diabetes remission chronic disease healthcare costs cost savings Medicine R
Acceso en línea:	https://doaj.org/article/9c5ed962817242798b92c66178e3fa6d
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spelling	oai:doaj.org-article:9c5ed962817242798b92c66178e3fa6d2021-11-11T16:29:31ZLifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal10.3390/ijerph1821113641660-46011661-7827https://doaj.org/article/9c5ed962817242798b92c66178e3fa6d2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11364https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Chronic disease places an enormous economic burden on both individuals and the healthcare system, and existing fee-for-service models of healthcare prioritize symptom management, medications, and procedures over treating the root causes of disease through changing health behaviors. Value-based care is gaining traction, and there is a need for value-based care models that achieve the quadruple aim of (1) improved population health, (2) enhanced patient experience, (3) reduced healthcare costs, and (4) improved work life and decreased burnout of healthcare providers. Lifestyle medicine (LM) has the potential to achieve these four aims, including promoting health and wellness and reducing healthcare costs; however, the economic outcomes of LM approaches need to be better quantified in research. This paper demonstrates proof of concept by detailing four cases that utilized an intensive, therapeutic lifestyle intervention change (ITLC) to dramatically reverse disease and reduce healthcare costs. In addition, priorities for lifestyle medicine economic research related to the components of quadruple aim are proposed, including conducting rigorously designed research studies to adequately measure the effects of ITLC interventions, modeling the potential economic cost savings enabled by health improvements following lifestyle interventions as compared to usual disease progression and management, and examining the effects of lifestyle medicine implementation upon different payment models.Kara A. LivingstonKelly J. FreemanSusan M. FriedmanRon W. StoutLiana S. LianovDavid DrozekJamie ShallowDexter ShurneyPadmaja M. PatelThomas M. CampbellKaitlyn R. PaulyKathryn J. PollardMicaela C. KarlsenMDPI AGarticlelifestyle medicinediabetes remissionchronic diseasehealthcare costscost savingsMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11364, p 11364 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	lifestyle medicine diabetes remission chronic disease healthcare costs cost savings Medicine R
spellingShingle	lifestyle medicine diabetes remission chronic disease healthcare costs cost savings Medicine R Kara A. Livingston Kelly J. Freeman Susan M. Friedman Ron W. Stout Liana S. Lianov David Drozek Jamie Shallow Dexter Shurney Padmaja M. Patel Thomas M. Campbell Kaitlyn R. Pauly Kathryn J. Pollard Micaela C. Karlsen Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal
description	Chronic disease places an enormous economic burden on both individuals and the healthcare system, and existing fee-for-service models of healthcare prioritize symptom management, medications, and procedures over treating the root causes of disease through changing health behaviors. Value-based care is gaining traction, and there is a need for value-based care models that achieve the quadruple aim of (1) improved population health, (2) enhanced patient experience, (3) reduced healthcare costs, and (4) improved work life and decreased burnout of healthcare providers. Lifestyle medicine (LM) has the potential to achieve these four aims, including promoting health and wellness and reducing healthcare costs; however, the economic outcomes of LM approaches need to be better quantified in research. This paper demonstrates proof of concept by detailing four cases that utilized an intensive, therapeutic lifestyle intervention change (ITLC) to dramatically reverse disease and reduce healthcare costs. In addition, priorities for lifestyle medicine economic research related to the components of quadruple aim are proposed, including conducting rigorously designed research studies to adequately measure the effects of ITLC interventions, modeling the potential economic cost savings enabled by health improvements following lifestyle interventions as compared to usual disease progression and management, and examining the effects of lifestyle medicine implementation upon different payment models.
format	article
author	Kara A. Livingston Kelly J. Freeman Susan M. Friedman Ron W. Stout Liana S. Lianov David Drozek Jamie Shallow Dexter Shurney Padmaja M. Patel Thomas M. Campbell Kaitlyn R. Pauly Kathryn J. Pollard Micaela C. Karlsen
author_facet	Kara A. Livingston Kelly J. Freeman Susan M. Friedman Ron W. Stout Liana S. Lianov David Drozek Jamie Shallow Dexter Shurney Padmaja M. Patel Thomas M. Campbell Kaitlyn R. Pauly Kathryn J. Pollard Micaela C. Karlsen
author_sort	Kara A. Livingston
title	Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal
title_short	Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal
title_full	Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal
title_fullStr	Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal
title_full_unstemmed	Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal
title_sort	lifestyle medicine and economics: a proposal for research priorities informed by a case series of disease reversal
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/9c5ed962817242798b92c66178e3fa6d
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Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal

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