Economic benefit of dietetic-nutritional treatment in the multidisciplinary primary care team.

Nutrición hospitalaria
Patricia Casas-AgustenchNancy Babio

Abstract

Chronic diseases and aging are placing an ever increasing burden on healthcare services worldwide. Nutritional counselling is a priority for primary care because it has shown substantial cost savings. This review aims to evaluate the evidence of the cost-effectiveness of nutritional care in primary care provided by health professionals. A literature search was conducted using PubMed/MEDLINE between January 2000 and February 2019. The review included thirty-six randomized controlled trials (RCTs) and systematic reviews conducted in healthy people and people with obesity, type-2 diabetes mellitus, cardiovascular risk or malnutrition. All the RCTs and reviews showed that nutritional intervention led by dietitians-nutritionists in people with obesity or cardiovascular risk factors was cost-effective. Dietary interventions led by nurses were cost-effective in people who needed to lose weight but not in people at high cardiovascular risk. Some dietary changes led by a primary care team in people with diabetes were cost-effective. Incorporating dietitians-nutritionists into primary care settings, or increasing their presence, would give people access to the healthcare professionals who are best qualified to carry out nutritional treat...Continue Reading

References

Mar 2, 2005·Annals of Internal Medicine·William H HermanUNKNOWN Diabetes Prevention Program Research Group
Aug 17, 2005·Annals of Internal Medicine·David M EddyRichard Kahn
Jun 20, 2012·Journal of the Academy of Nutrition and Dietetics·Erica Gradwell, Prashanthi Rao Raman
Aug 30, 2012·International Journal of Obesity : Journal of the International Association for the Study of Obesity·N R FullerI D Caterson
Mar 19, 2013·Pediatric Obesity·S HollinghurstJ P Shield
Aug 16, 2013·International Journal of Obesity : Journal of the International Association for the Study of Obesity·A G TsaiH A Glick
Nov 26, 2013·Revista clínica española·R SagarraUNKNOWN el Grupo de Investigación DE-PLAN-CAT/PREDICE
Jul 15, 2015·Annals of Internal Medicine·Nicolaas P PronkUNKNOWN Community Preventive Services Task Force
Dec 17, 2015·Journal of Primary Health Care·Alexandra HowatsonPetrina Turner-Benny
Dec 4, 2016·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Anne NeumannFredrik Norström
Dec 23, 2016·Archives of Disease in Childhood·Wendy RobertsonMargaret Thorogood
Feb 27, 2018·Journal of the Academy of Nutrition and Dietetics·Dick Rogers
Dec 1, 2016·Journal of Primary Health Care·Louise BeckingsaleCaroline Morris
Oct 17, 2018·The Lancet Global Health

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