Impact of Medically Tailored Meals on Obesity, Other Health Outcomes, and Healthcare Utilization under Medicaid Flexible Services

医疗定制膳食对肥胖、其他健康结果以及医疗补助灵活服务下医疗保健利用的影响

• 批准号: 10569792
• 负责人: DARIUSH MOZAFFARIAN
• 金额: $ 83.43万
• 依托单位: TUFTS UNIVERSITY BOSTON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10569792
• 关键词: Accident and Emergency department; Admission activity; American; Blood Pressure; Body mass index; Caring; Clinic; Clinical; Collaborations; Collection; Communities; Control Groups; Custom; Data; Data Collection; Diabetes Mellitus; Diagnosis; Diet; Dietitian; Effectiveness; Emergency department visit; End stage renal failure; Enrollment; Evaluation; Future; Glycosylated hemoglobin A; Grouping; HIV; Health; Health Alliance; Health Care Costs; Healthcare Systems; Heart failure; Home; Hospitals; Household; Housing; Individual; Inpatients; Intervention; Interview; Low income; Malignant Neoplasms; Massachusetts; Medicaid; Medical; Nutrition Assessment; Nutritional; Nutritional Science; Nutritionist; Obesity; Outcome; Participant; Patients; Perception; Policies; Policy Maker; Quasi-experiment; Reduce health disparities; Research; Research Personnel; Role; Schools; Science Policy; Scientist; Security; Services; State Government; Surveys; Time; Work; base; blood glucose regulation; cost; design; diabetes control; flexibility; follow-up; food security; glycemic control; health care delivery; health care service utilization; high risk; improved; innovation; interest; medical schools; member; novel; nutrition; programs; social

Impact of Medically Tailored Meals on Obesity, Other Health Outcomes, and Healthcare Utilization under Medicaid Flexible Services Summary/Abstract Medically tailored meal (MTM) interventions are of rapidly growing interest to healthcare systems, payers, patients, and policy makers. MTMs are fully prepared, nutritionally customized, and generally home-delivered healthy meals for individuals living with advanced and costly diet-sensitive conditions, such as diabetes, heart failure, end stage renal disease, HIV, and cancer. Meal plans are designed by a registered dietitian nutritionist based on diagnoses and nutritional assessment. Several preliminary studies have suggested that MTM programs can reduce healthcare utilization and healthcare costs for high-risk patients. Impacts on obesity, glucose control, and related health outcomes have not been evaluated. This collaborative initiative will assess the impacts of MTMs on obesity, diabetes control, blood pressure, healthcare utilization, and healthcare costs under an ongoing Commonwealth of Massachusetts’ Medicaid pilot involving multiple hospitals in the state. This is a scientifically compelling research opportunity with national relevance, bringing together researchers, community-based organizations, large nonprofit health care systems, and state government.

医学量身定制的餐食对肥胖，其他健康结果和医疗保健利用的影响 在医疗补助灵活的服务下 摘要/摘要 医疗量身定制的餐（MTM）干预措施对医疗保健系统，付款人， 病人和决策者。 MTM已准备好，营养定制，通常由家用 适合患有高级且昂贵饮食敏感疾病的人的健康餐，例如糖尿病，心脏 失败，终阶段肾脏疾病，艾滋病毒和癌症。用餐计划是由注册营养师营养师设计的 基于诊断和营养评估。一些初步研究表明MTM 计划可以降低高危患者的医疗保健利用和医疗费用。对肥胖的影响， 尚未评估葡萄糖控制和相关的健康结果。该协作计划将评估 MTM对肥胖，糖尿病控制，血压，医疗保健利用和医疗费用的影响 在正在进行的马萨诸塞州医疗补助飞行员的联邦下，该州涉及该州的多家医院。 这是一个具有科学吸引力的研究机会，具有国家相关性，将研究人员汇集在一起 基于社区的组织，大型非营利性医疗保健系统和州政府。