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一个医疗补助资助的全州糖尿病质量改善合作:俄俄州2020年至2022年
Shari D Bolen1, Joshua J Joseph1, Kathleen M Dungan1
1Shari D. Bolen is with the Department of Medicine, The MetroHealth Medical Center and Case Western Reserve University, Cleveland, OH. Joshua J. Joseph is with the Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus. Kathleen M. Dungan is with the Department of Medicine, The Ohio State University Wexner Medical Center, Columbus. Elizabeth A. Beverly is with the Department of Primary Care at The Diabetes Institute, Ohio University, Athens. Adam T. Perzynski is with the Department of Medicine and Department of Sociology, The MetroHealth Medical Center and Case Western Reserve University. Douglas Einstadter and Jordan Fiegl are with the Department of Medicine, The MetroHealth Medical Center and Case Western Reserve University. Thomas E. Love is with the Department of Medicine and Population and Quantitative Health Sciences, The MetroHealth Medical Center and Case Western Reserve University. Douglas Spence, Katherine Jenkins, Allison Lorenz, and Shah Jalal Uddin are with The Ohio State Government Resource Center, Columbus. Kelly McCutcheon Adams is with the Institute for Healthcare Improvement, Boston, MA. Michael W. Konstan is with the Department of Pediatrics, Case Western Reserve University. Mary S. Applegate is with the Ohio Department of Medicaid, Columbus.
一个全州范围的糖尿病质量改善合作通过降低高血红蛋白A1c水平来改善患者的治疗结果. 这种集体影响模型显示了促进糖尿病健康平等和加速为所有人提供更好的健康的前景.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 糖尿病管理 糖尿病管理
背景情况:
- 糖尿病仍然是一个重要的公共卫生问题,不成比例地影响着某些人口.
- 改善糖尿病护理质量和实现健康平等是医疗保健系统面临的关键挑战.
- 现有的质量改善举措可能无法完全解决不同患者群体糖尿病管理的复杂性.
研究的目的:
- 通过使用集体影响模型建立全州糖尿病质量改善协作.
- 改善糖尿病健康结果,并在初级保健机构推进健康公平.
- 在现实世界医疗保健环境中评估协作方法的有效性.
主要方法:
- 一个集体影响模型被用来创建一个全州的协作.
- 在俄俄州的20个初级保健实践在2020年至2022年之间被招募.
- 合作包括俄俄州医疗补助部,医疗补助管理护理计划和七所医学院.
主要成果:
- 血红蛋白A1c大于9%的患者的百分比在两年内从25%降至20%.
- 合作者在关键糖尿病指标中显示出可测量的改善.
- 该倡议成功地让多个利益相关者参与改善糖尿病护理.
结论:
- 集体影响模型是改善糖尿病结果的有效策略.
- 这种模式的更广泛应用可以加速糖尿病健康公平的进展.
- 共同努力对于解决糖尿病等复杂的公共卫生问题至关重要.
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