在初级保健中嵌入儿科饮食障碍治疗是否弥合了获取差距?
Jocelyn Lebow1,2, Marcie Billings2, Angela Mattke2
1Department of Psychiatry and Psychology, Mayo Clinic School of Medicine, Rochester, Minnesota, USA.
Eating disorders
|January 11, 2024
概括
基于初级保健的饮食障碍治疗可以改善不同青少年在疾病早期的治疗机会. 这种模式表明,与专科诊所相比,它有望接触到更多种族和社会经济多元化的年轻人.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 公共卫生 公共卫生
- 医疗保健提供 创新 医疗保健提供 创新
背景情况:
- 获得儿童和青少年饮食障碍治疗的机会受到众多障碍的限制.
- 基于初级保健的饮食障碍治疗模式显示出希望,但它们弥合获取差距的能力尚未得到证实.
研究的目的:
- 为了比较青少年的人口统计和疾病特征,在以初级保健为基础的饮食障碍诊所治疗与专业饮食障碍诊所.
- 确定以初级保健为基础的模型是否可以在疾病过程中更早地接触到更多样化的患者群体.
主要方法:
- 在初级保健诊所的106名青少年和在专科诊所的103名青少年的回顾性图表审查.
- 人口统计数据 (种族,保险) 和疾病特征 (BMI百分位数,体重抑制,疾病持续时间,缺血症,EDE-Q分数) 的比较.
主要成果:
- 初级保健组的青少年的BMI百分位数较高,体重抑制较少,疾病持续时间较短,饮食限制得分较低.
- 初级保健组包括更多的非白人患者和那些有公共援助保险的人.
- 在初级保健中的患者在疾病早期被发现,而不是在专科护理中的患者.
结论:
- 初级保健嵌入式饮食障碍治疗可能会为更种族和社会经济多样化的青少年群体服务.
- 这种模式可能特别有效,用于早期识别和治疗青少年的疾病.
- 需要进一步的研究来比较初级保健与专科保健模型的相对有效性.
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