The role of health care reform is shifting the focus from a disease-oriented health care system towards wellness and preventive care as they focus on non-communicable disease and the World Health Organization (WHO) developed global monitoring framework to enable global tracking of progress in preventing and controlling in (WHO, 2016) and by educating and behavior modification of the people to stop the disease before it starts. Also the Affordable Act emphasized the health care system to focus on preventive care and empower patients to make better health decision about their care and improve the quality of life (HHS.gov, …show more content…
The real world setting where health research findings are applied in practice, which includes primary health care settings, community base programs, work organizations, churches and schools (Aziz et al, 2015). The diabetes prevention program, large clinical trial in the United States with a racially and ethnically driven sample of adults, demonstrated a 58% reduction in T2DM with lifestyle change compared with a 31% reduction with metformin at 2.8 years follow up (Whittemore et al,