Academic Journal
Lifestyle Medicine Reimbursement: A Proposal for Policy Priorities Informed by a Cross-Sectional Survey of Lifestyle Medicine Practitioners
| العنوان: | Lifestyle Medicine Reimbursement: A Proposal for Policy Priorities Informed by a Cross-Sectional Survey of Lifestyle Medicine Practitioners |
|---|---|
| المؤلفون: | Kelly J. Freeman, Meagan L. Grega, Susan M. Friedman, Padmaja M. Patel, Ron W. Stout, Thomas M. Campbell, Michelle L. Tollefson, Liana S. Lianov, Kaitlyn R. Pauly, Kathryn J. Pollard, Micaela C. Karlsen |
| المصدر: | International Journal of Environmental Research and Public Health, Vol 18, Iss 11632, p 11632 (2021) |
| بيانات النشر: | MDPI AG |
| سنة النشر: | 2021 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | lifestyle medicine, reimbursement, quality measures, healthcare policy, intensive therapeutic lifestyle changes, person-centered care, Medicine |
| الوصف: | Lifestyle medicine (LM) is a rapidly emerging clinical discipline that focuses on intensive therapeutic lifestyle changes to treat chronic disease, often producing dramatic health benefits. In spite of these well-documented benefits of LM approaches to provide evidence-based care that follows current clinical guidelines, LM practitioners have found reimbursement challenging. The objectives of this paper are to present the results of a cross-sectional survey of LM practitioners regarding lifestyle medicine reimbursement and to propose policy priorities related to the ability of practitioners to implement and achieve reimbursement for these necessary services. Results from a closed, online survey in 2019 were analyzed, with a total of n = 857 included in this analysis. Results were descriptively analyzed. This manuscript articulates policy proposals informed by the survey results. The study sample was 58% female, with median age of 51. A minority of the sample (17%) reported that all their practice was LM, while 56% reported that some of their practice was LM. A total of 55% of practitioners reported not being able to receive reimbursement for LM practice. Of those survey respondents who provided an answer to the question of what would make the practice of LM easier ( n = 471), the following suggestions were offered: reimbursement overall (18%), reimbursement for more time spent with patients (17%), more support from leadership (16%), policy measures to incentivize health (13%), education in LM for practitioners (11%), LM-specific billing codes and billing knowledge along with better electronic medical record (EMR) capabilities and streamlined reporting/paperwork (11%), and reimbursement for the extended care team (10%). Proposed policy changes focus on three areas of focus: (1) support for the care process using a LM approach, (2) reimbursement emphasizing outcomes of health, patient experience, and delivering person-centered care, and (3) incentivizing treatment that produces disease remission/reversal. ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1660-4601 1661-7827 |
| Relation: | https://www.mdpi.com/1660-4601/18/21/11632; https://doaj.org/toc/1661-7827; https://doaj.org/toc/1660-4601; https://doaj.org/article/0569f1abae55439bbd95d9ff50a9ced0 |
| DOI: | 10.3390/ijerph182111632 |
| الاتاحة: | https://doi.org/10.3390/ijerph182111632 https://doaj.org/article/0569f1abae55439bbd95d9ff50a9ced0 |
| رقم الانضمام: | edsbas.5C18A3E6 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 16604601 16617827 |
|---|---|
| DOI: | 10.3390/ijerph182111632 |