Food as Preventative Medicine

In 2010, 86% of total healthcare spending in the US was spent on individuals diagnosed with chronic medical issues. The most prominent among these diseases include cancer, cardiovascular disease, diabetes, HIV/AIDS and obesity. Of the various components of our health that we can control, nutrition is one of the most influential factors.

We are thrilled to see a rising trend in providers and payers partnering with programs to provide nutritional support in three forms; provision, incentive and education.

1.     Provision

Provides a direct provision of food that is customized to the patient’s personal medical diagnosis through both home delivery and medically customized food banks. These programs primarily serve patients who have serious chronic disease diagnoses and attempt to both improve both quality of life and prevent additional hospital visits and or medical costs. These programs come in the form of non-profit companies, sustained primarily by donations, as well as companies contracted with health insurers.

2.     Incentives

Comprised of food purchasing incentives, in which particular foods with health benefits such as fruits and vegetables are either subsidized by the programs or incentivized. Patients may receive a food prescription from their primary care physician which functions as a kind of coupon at local vendors for fresh and healthy foods. Additionally, some insurance providers are partnering with grocery stores to provide discount cards on certain healthy foods.

3.     Education

Not knowing how to prepare healthy meals can be the biggest barrier to good nutrition. Education programs seek to teach individuals how to properly construct a diet that fits with their health needs. These programs are prevention focused, and tend to target audiences that are at risk for developing chronic illness. Lifestyle education focuses on healthy cooking, how to exercise effectively and how to understand the cause and effect of their lifestyle choices on their health.

“Food insecurity is linked to a 46 percent increased likelihood of becoming a ‘high cost user’ of healthcare” (source)

Utilization and implementation of nutrition intervention programs has the ability to drastically impact chronic illness rates, medical costs, insurance coverage and nutrition accessibility.

Here in Eastern Washington, where 1 in 3 children is overweight or obese, and rates of Diabetes are climbing, innovating new programs to help people access and prepare healthy food will be essential to preventing health crisis. In our prevention work, we collaborate with local partners to innovate ideas like those above, and increase food access and food literacy to meet our region's health needs upstream. 

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Spotlight: Dr. Brian Macall, Unify Community Health

Dr. Brian Macall    Lead Dentist    |     Unify Community Health

Dr. Brian Macall 
Lead Dentist
 |  Unify Community Health

By working at a community clinic, Dr. Macall is able to treat many individuals from underserved populations. The clinic takes patients that are unable to seek dental care elsewhere, including DENT patients.

Dr. Macall believes the biggest health challenge facing the region is access. If community clinics and providers were not present, a large percentage of the region’s population would not be able to get treatment at all. But even then, it’s not enough. Many private dentists that took Medicaid have stopped because of low reimbursements and challenging paperwork.

Eastern Washington has a huge population of individuals who have dental insurance but are unable to get treatment. Because of this, many people go weeks and months with severely decayed teeth, pain, and sometimes infections. For a lot of patients, Macall is the last resource. The best feeling, for him, is being able to say, “I can help you,” and seeing the excitement and joy on his patients’ faces.

Spotlight: Tina Shute, DENT Client

Tina Shute      DENT Client

Tina Shute 
DENT Client

When Tina Shute found herself with a broken tooth, she headed to the ER. Life circumstances had caused Shute to go without dental insurance and regular dental care. Even though her tooth caused excruciating pain, Shute put off seeking treatment for several weeks.

When she finally did visit the ER, the only option was to pull the entire tooth. As she was leaving the ER, Shute was given the number of a dental advocate at the DENT program, who got her into a dental appointment right away. Shute even had car issues, so her dental advocate drove her to the appointment.

Since then, Shute has noticed a huge improvement in her oral health and in her overall health. She is no longer in pain, and DENT is helping her take care of other dental issues until she can afford to have a regular dentist.