在美国儿童医院提供基于证据的糖尿病计划
Allyson S Hughes1, Angela Gutierrez1, Julia Flint1
1Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA.
Journal of primary care & community health
|July 31, 2023
概括
很少有儿童医院实施基于证据的糖尿病预防和管理策略. 大多数计划都错过了减少健康差距和改善患者结果的机会,这表明需要加强社区健康倡议.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 糖尿病管理 糖尿病管理
背景情况:
- 非营利性医院有义务满足社区的健康需求.
- 糖尿病需要在所有年龄组进行全面的干预.
- 儿童医院在社区糖尿病预防和护理中发挥着重要作用.
研究的目的:
- 评估儿童医院使用的糖尿病预防和护理策略.
- 确定这些计划中基于证据的战略采用的程度.
- 确定医院主导的糖尿病倡议的重点领域和差距.
主要方法:
- 对近期儿童医院的分析需要评估.
- 医院实施战略的专题编码.
- 评估计划与糖尿病自我管理教育和支持 (DSMES) 框架的协调性.
主要成果:
- 在233家美国儿童医院中,只有29家在社区福利投资中解决了糖尿病问题.
- 在130个确定的项目中,有37%与DSMES框架保持一致.
- 计划主要集中在预防,健康饮食和教育上,对健康差异,问题解决或糖尿病技术的关注很少.
结论:
- 儿童医院在有限程度上使用基于证据的糖尿病编程.
- 在医院糖尿病倡议中,在解决健康差异方面存在重大差距.
- 医院错过了实施结构性,基于证据的方法来减少糖尿病患病率和改善血糖控制 (A1c) 的机会.
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