Availability Of Diabetes Prevention Program Sites

April 2, 2022

The Diabetes Prevention Program is a national initiative for individuals at risk of acquiring diabetes, a chronic condition that harms their cardiovascular health. This program provides tools for implementing healthy food and physical activity lifestyle changes to promote weight loss and diabetes risk reduction. Likewise, this program is available through various institutions, including businesses, health clinics, and community groups. The economic incentives for organizations to offer this program were altered after Medicare announced in 2018 that it would begin paying Diabetes Prevention Program participation for eligible beneficiaries. The objectives of this study were 1) to identify provisional changes of the Diabetes Prevention Program changed at different locations; and 2) to determine what locations were most likely to provide Medicare recipients access to Diabetes Prevention Programs. It was hypothesized that 200 DPPs nationwide would provide greater access to Medicare recipients. To investigate our objectives, publicly available data about these programs were collected from the Centers for Disease Control (CDC) and Prevention and Medicare databases; data were then correlated?? with other publicly accessible information about the area-level prevalence of diabetes, demographic characteristics, and socioeconomic factors. Stata/SE 14 was utilized to examine patterns in these metrics across time. Each county's average diabetes prevalence was calculated. Counties were categorized as having a low or high diabetes prevalence depending on whether their rates were lower than the national average.

The result of this research is that the state of Michigan has the most DPPs, with 43 in Kent County, 35 in Wayne County, and 16 in Washtenaw. A higher percentage of countries with DPP have a low diabetes prevalence. Only 323 counties out of 3,220 have at least one DPP, implying that 90% of all counties lack a diabetes prevention program. Moreover, half of the 10% have only one DPP (186 counties). In 2018, 10.5 percent of the population in the United States had diabetes. A high diabetes prevalence rate is defined as a county with a diabetes prevalence rate of more than 10.5 percent of the population. Puerto Rico, Vermont, South Dakota, Nevada, and Rhode Island are the only states without DPPs. In Connecticut, District of Columbia, and New Mexico: a small number of DPPs are found. The percentage of countries (P value) with different number of DPPs is as follows: Countries with 0 DPP: 90%. Countries with 1 DPP: 6%. Countries with more than 1 DPP: 4%. The findings demonstrate that the use of Stata software has improved, allowing for a more complete analysis of the DPPS in the United States. Most Medicare members do not have access to a Diabetes Prevention Program since it is only available in around 10% of all counties in the United States. This research will offer helpful data on how the setting of Diabetes Prevention Program alternatives has evolved since Medicare coverage became available. The significance of this study is to see how the availability of the Diabetes Prevention Program has altered after Medicare decided to pay it for eligible enrollees in 2018.

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