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.

医学定制膳食对肥胖、其他健康结果和医疗保健利用的影响 根据医疗补助灵活服务 总结/摘要 医疗定制餐（MTM）干预措施对医疗保健系统，支付者， 患者和政策制定者。MTM是完全准备好的，营养定制的，通常是家庭交付的 为患有糖尿病、心脏病、糖尿病和糖尿病等严重和昂贵的饮食敏感性疾病的人提供健康膳食。 衰竭、终末期肾病、HIV和癌症。膳食计划是由注册营养师设计的营养师 根据诊断和营养评估。一些初步研究表明，MTM 计划可以降低高风险患者的医疗保健利用率和医疗保健成本。对肥胖症的影响， 血糖控制和相关的健康结果尚未评估。这一合作举措将评估 MTMs对肥胖、糖尿病控制、血压、医疗保健利用和医疗保健成本的影响 根据正在进行的马萨诸塞州联邦医疗补助试点，涉及该州多家医院。 这是一个具有国家相关性的科学研究机会，将研究人员聚集在一起， 社区组织、大型非营利医疗保健系统和州政府。