title: Health Systems Approaches to Diabetes Screening and Prevention in Women with a History of Gestational Diabetes.
abstract: Gestational diabetes (GDM) is associated with a high risk of future type 2 diabetes. Despite multiple clinical guidelines highlighting the importance of screening in this high-risk population, many health systems report that fewer than 50 % of eligible women are screened in the postpartum period, and little is known about screening beyond the first postpartum year. Systems-level approaches to screening for and prevention of type 2 diabetes in women with a history of GDM are therefore an opportunity for quality improvement. This review will discuss the literature on interventions to improve screening at the systems level and highlight successful strategies as well as gaps in the existing literature. Future directions for intervention research are suggested.
authors.affiliation: Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Boston Medical Center, One Boston Medical Center Place, Boston, MA, USA.
authors.forename: Christina
authors.initials: C
authors.lastname: Yarrington
authors.affiliation: Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Boston Medical Center, One Boston Medical Center Place, Boston, MA, USA. czera@partners.org.
authors.forename: Chloe
authors.initials: C
authors.lastname: Zera
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D016640:Diabetes, Gestational / Q000453:epidemiology*; D061345:Early Medical Intervention; D005260:Female; D006801:Humans; D008403:Mass Screening; D049590:Postpartum Period; D011247:Pregnancy
keywords: Gestational diabetes; Pregnancy; Screening; Type 2 diabetes; Women’s health