Lifestyle medicine is the nonpharmacological/nonprocedural management of chronic disease and has evolved in response to significant clinical and economic burdens. However, optimizing implementation tactics that leverage evidence-based lifestyle medicine strategies has been challenging. In Europe, several lifestyle medicine centers (LMCs) with structured clinical activities and quantifiable results have been developed to address this challenge. The first optimization step is accreditation—a force multiplier—which incentivizes and optimizes a LMC based on adherence to evidence-based best practice standards. Ultimately, the strategic goal of accreditation is to create a viable European network of multiple LMCs facilitating superior performance metrics (e.g., response, sustainability, and safety), research, scientific information exchange, and multicenter clinical trials. Accreditation will be granted at three levels: certified, certified with distinction, and certified with premier distinction, with annotations corresponding to approved specializations (e.g., diabetes, obesity, cancer, and cardiovascular diseases). Logistically, the accreditation process will be managed by a committee under the auspices of the European Lifestyle Medicine Organization. Performance metrics from facilities, policies and protocols, competencies, leadership and human resources, and other immersive patient-oriented attributes will be requested and evaluated from candidate LMCs. In conclusion, a standardized process for European LMC accreditation will foment a culture of high-quality lifestyle medicine by closing established research, knowledge, and practice gaps.

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Accreditation Programs in Lifestyle Medicine: New Survey Data and a Proposed European Model

  • Ioannis Arkadianos,
  • Jeffrey I. Mechanick,
  • Anca Hâncu,
  • Ioan Hanes,
  • Carlos A. G. Van Mieghem

摘要

Lifestyle medicine is the nonpharmacological/nonprocedural management of chronic disease and has evolved in response to significant clinical and economic burdens. However, optimizing implementation tactics that leverage evidence-based lifestyle medicine strategies has been challenging. In Europe, several lifestyle medicine centers (LMCs) with structured clinical activities and quantifiable results have been developed to address this challenge. The first optimization step is accreditation—a force multiplier—which incentivizes and optimizes a LMC based on adherence to evidence-based best practice standards. Ultimately, the strategic goal of accreditation is to create a viable European network of multiple LMCs facilitating superior performance metrics (e.g., response, sustainability, and safety), research, scientific information exchange, and multicenter clinical trials. Accreditation will be granted at three levels: certified, certified with distinction, and certified with premier distinction, with annotations corresponding to approved specializations (e.g., diabetes, obesity, cancer, and cardiovascular diseases). Logistically, the accreditation process will be managed by a committee under the auspices of the European Lifestyle Medicine Organization. Performance metrics from facilities, policies and protocols, competencies, leadership and human resources, and other immersive patient-oriented attributes will be requested and evaluated from candidate LMCs. In conclusion, a standardized process for European LMC accreditation will foment a culture of high-quality lifestyle medicine by closing established research, knowledge, and practice gaps.