Review

. 2018 Feb 5;18(2):8.

doi: 10.1007/s11892-018-0977-5.

Introductory Overview of the Natural Experiments for Translation in Diabetes 2.0 (NEXT-D2) Network: Examining the Impact of US Health Policies and Practices to Prevent Diabetes and Its Complications

O Kenrik Duru¹, Carol M Mangione², Hector P Rodriguez³, Dennis Ross-Degnan⁴, J Frank Wharam⁴, Bernard Black⁵, Abel Kho⁶, Nathalie Huguet⁷, Heather Angier⁷, Victoria Mayer⁸, David Siscovick⁹, Jennifer L Kraschnewski¹⁰, Lizheng Shi¹¹, Elizabeth Nauman¹², Edward W Gregg¹³, Mohammed K Ali^{13

14}, Pamela Thornton¹⁵, Steven Clauser¹⁶

Affiliations

¹ Division of General Internal Medicine & Health Services Research, David Geffen School of Medicine, UCLA, 10940 Wilshire Blvd., Suite 700, Los Angeles, CA, 90024, USA. kduru@mednet.ucla.edu.
² David Geffen School of Medicine at UCLA and Fielding School of Public Health, UCLA, Los Angeles, CA, USA.
³ School of Public Health - Health Policy and Management, University of California, Berkeley, Berkeley, CA, USA.
⁴ Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA.
⁵ Pritzker School of Law, Institute for Policy Research, and Kellogg School of Management, Northwestern University, Evanston, IL, USA.
⁶ Institute of Public Health & Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
⁷ Oregon Health & Science University, Portland, OR, USA.
⁸ Department of Population Health Science and Policy, Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
⁹ The New York Academy of Medicine, New York, NY, USA.
¹⁰ Department of Medicine, Pediatrics and Public Health Sciences, Pennsylvania State University College of Medicine at Hershey Medical Center, Hershey, PA, USA.
¹¹ School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA.
¹² Louisiana Public Health Institute, New Orleans, LA, USA.
¹³ Centers for Disease Control and Prevention, Division of Diabetes Translation, Atlanta, GA, USA.
¹⁴ Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
¹⁵ Division of Diabetes, Endocrinology, and Metabolic Diseases, National Institute of Diabetes and Digestive and Kidney Disease, Bethesda, MD, USA.
¹⁶ Health Care Delivery and Disparities Research Program, Patient-Centered Outcomes Research Institute, Washington, DC, USA.

PMID: 29399715
PMCID: PMC8910460
DOI: 10.1007/s11892-018-0977-5

Review

Introductory Overview of the Natural Experiments for Translation in Diabetes 2.0 (NEXT-D2) Network: Examining the Impact of US Health Policies and Practices to Prevent Diabetes and Its Complications

O Kenrik Duru et al. Curr Diab Rep. 2018.

. 2018 Feb 5;18(2):8.

doi: 10.1007/s11892-018-0977-5.

Authors

Affiliations

¹ Division of General Internal Medicine & Health Services Research, David Geffen School of Medicine, UCLA, 10940 Wilshire Blvd., Suite 700, Los Angeles, CA, 90024, USA. kduru@mednet.ucla.edu.
² David Geffen School of Medicine at UCLA and Fielding School of Public Health, UCLA, Los Angeles, CA, USA.
³ School of Public Health - Health Policy and Management, University of California, Berkeley, Berkeley, CA, USA.
⁴ Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA.
⁵ Pritzker School of Law, Institute for Policy Research, and Kellogg School of Management, Northwestern University, Evanston, IL, USA.
⁶ Institute of Public Health & Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
⁷ Oregon Health & Science University, Portland, OR, USA.
⁸ Department of Population Health Science and Policy, Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
⁹ The New York Academy of Medicine, New York, NY, USA.
¹⁰ Department of Medicine, Pediatrics and Public Health Sciences, Pennsylvania State University College of Medicine at Hershey Medical Center, Hershey, PA, USA.
¹¹ School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA.
¹² Louisiana Public Health Institute, New Orleans, LA, USA.
¹³ Centers for Disease Control and Prevention, Division of Diabetes Translation, Atlanta, GA, USA.
¹⁴ Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
¹⁵ Division of Diabetes, Endocrinology, and Metabolic Diseases, National Institute of Diabetes and Digestive and Kidney Disease, Bethesda, MD, USA.
¹⁶ Health Care Delivery and Disparities Research Program, Patient-Centered Outcomes Research Institute, Washington, DC, USA.

PMID: 29399715
PMCID: PMC8910460
DOI: 10.1007/s11892-018-0977-5

Abstract

Purpose of review: Diabetes incidence is rising among vulnerable population subgroups including minorities and individuals with limited education. Many diabetes-related programs and public policies are unevaluated while others are analyzed with research designs highly susceptible to bias which can result in flawed conclusions. The Natural Experiments for Translation in Diabetes 2.0 (NEXT-D2) Network includes eight research centers and three funding agencies using rigorous methods to evaluate natural experiments in health policy and program delivery.

Recent findings: NEXT-D2 research studies use quasi-experimental methods to assess three major areas as they relate to diabetes: health insurance expansion; healthcare financing and payment models; and innovations in care coordination. The studies will report on preventive processes, achievement of diabetes care goals, and incidence of complications. Some studies assess healthcare utilization while others focus on patient-reported outcomes. NEXT-D2 examines the effect of public and private policies on diabetes care and prevention at a critical time, given ongoing and rapid shifts in the US health policy landscape.

Keywords: Health outcomes; Health policy; Patient engagement; Quasi-experimental; Research dissemination; Socio-ecologic framework.

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Conflict of interest statement

Conflict of Interest Drs. O. Kenrik Duru, Carol M. Mangione, Hector P. Rodriguez, Dennis Ross-Degnan, Frank Wharam, Bernard Black, Abel Kho, Nathalie Huguet, Heather Angier, Victoria Mayer, David Siscovick, Jennifer Kraschnewski, Lizheng Shi, Elizabeth Nauman, Edward W. Gregg, Mohammed K. Ali, Pamela Thornton, and Steve Clauser declare that they have no conflict of interest.

Figures

**Fig. 1**
Theoretical framework for Natural Experiments for Translation in Diabetes 2.0 (NEXT-D2). Levels of analysis by lead academic centers: 1, Northwestern University; 2, Oregon Health & Science University; 3, Harvard Medical School and Harvard Pilgrim Health Care Institute; 4, Pennsylvania State University College of Medicine at Hershey Medical Center; 5, Tulane University; 6, University of California, Berkeley; 7, Icahn School of Medicine at Mt. Sinai; 8, University of California, Los Angeles. (Reprinted from American Journal of Preventive Medicine Volume 48, Ackermann et al., Evaluating Diabetes Health Policies Using Natural Experiments: The Natural Experiments for Translation in Diabetes Study, pp. 747–54, copyright 2015, with permission from Elsevier) [19]

See this image and copyright information in PMC

References

1. Centers for Disease Control and Prevention. National Diabetes Statistics Report: estimates of diabetes and its burden in the United States, 2014. 2014; https://www.cdc.gov/diabetes/data/statistics/2014statisticsreport.html. Accessed 2017-08-14.
1. American Diabetes Association. Economic costs of diabetes in the U.S. in 2012. Diabetes Care(36):4. - PMC - PubMed
1. Downer S, Condra A, White KL, Shaw S, Myeni A, Leonce M, Gurley K. 2015 US Federal Report PATHS Providing Access to Healthy Solutions beating type 2 diabetes: recommendations for Federal Policy Reform. In: the Center for Health Law and Policy Innovation of Harvard Law School: Harvard: Law School; 2015.
1. Hunter CM, McKinnon RA, Esposito L. News from the NIH: research to evaluate “natural experiments” related to obesity and diabetes. Transl Behav Med. 2014;4(2):127–9. 10.1007/s13142-013-0250-z. - DOI - PMC - PubMed
1. Andrews M. New health plans offer discounts for diabetes care. 2015. https://khn.org/news/new-health-plans-offer-discounts-for-diabetes-care/.

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Introductory Overview of the Natural Experiments for Translation in Diabetes 2.0 (NEXT-D2) Network: Examining the Impact of US Health Policies and Practices to Prevent Diabetes and Its Complications

Affiliations

Introductory Overview of the Natural Experiments for Translation in Diabetes 2.0 (NEXT-D2) Network: Examining the Impact of US Health Policies and Practices to Prevent Diabetes and Its Complications

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Research Materials