在初级保健中提供体重管理模型:来自MOST肥胖研究的定性结果
Jodi Summers Holtrop1, Lauri Connelly1, Rebekah Gomes1
1From the Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (JSH, LC, BJ, AN); ACCORDS, University of Colorado School of Medicine, Aurora, CO (RG, RMG); Department of Obstetrics, Gynecology, and Reproductive Biology, Michigan State University, Grand Rapids MI (LF); Department of Social Sciences, University of Houston-Downtown, Houston, TX (CR); Department of Medicine, Division of General Internal Medicine, Duke University School of Medicine, Durham, NC (RJD); Division of Healthcare Policy and Research, Department of Medicine, University of Colorado School of Medicine, Aurora, CO (RMG); Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI (ZL).
主要护理实践可以使用四种可行的模式来实施体重管理服务:小组,综合护理,聘用外部专业人员或特定计划. 这些模型有助于解决在初级设置中解决肥胖护理的挑战.
科学领域:
- 医疗实践管理 医疗实践管理
- 肥胖医学 肥胖医学
- 公共卫生 公共卫生
背景情况:
- 肥胖是美国疾病和死亡的重要原因之一.
- 初级保健机构对于教育患者关于肥胖对健康的影响和支持体重管理至关重要.
- 在初级保健中实施有效的体重管理计划存在相当大的挑战.
研究的目的:
- 调查在初级保健医疗实践中实施体重管理服务的可行性.
- 识别和分析在初级保健中提供体重管理的不同模式.
主要方法:
- 一个定性研究,涉及到现场访问,观察,采访和文档审查.
- 对美国21个初级保健机构的分析.
- 经验案例的多维分类,以确定独特的,可行的交付特征.
主要成果:
- 确定了四种不同的体重管理交付模式:集体,集成到标准的初级保健中,利用"其他"专业人员,并采用特定的程序.
- 模型的关键特征包括服务提供商,个人与集团交付,干预方法和报销方法.
- 大多数实践将服务整合到初级保健中,而一些实践则利用专门的"切割"计划.
结论:
- 确定了四种模型,以帮助克服初级保健体重管理交付中的挑战.
- 初级保健实践可以根据其特定的背景,资源和患者需求选择合适的模型.
- 强调需要初级保健来规范肥胖护理作为一个关键的健康问题.
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