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