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评估"健康连接"儿童体重管理计划的实施情况

Meg Simione^1,2, Holly M Frost^3,4,5, Haley Farrar-Muir¹

¹Department of Pediatrics, Mass General for Children, Boston, Massachusetts.

JAMA network open

|January 25, 2024

概括

在初级保健中实施"连接健康"计划,有效地选了超过18,000名儿童的BMI. 这项质量改进倡议表现出高效率和可接受性,为更好的儿童肥胖管理和减少健康差异铺平了道路.

科学领域:

公共卫生公共卫生
儿科儿科儿科
医疗保健服务研究医疗服务研究

背景情况:

儿童肥胖率仍然很高,初级保健干预措施的采用有限.
肥胖患病率的差异需要在可访问的环境中制定有效的管理策略.

研究的目的:

评估支持"健康连接"儿科体重管理计划的实施战略.
评估研究证据的采用和在初级保健中采用计划的情况.

主要方法:

在三个不同的医疗保健组织进行质量改进研究.
使用了覆盖范围,有效性,采用,实施,维护 (RE-AIM) 框架.
通过调查,电子健康记录和程序指标收集数据.

主要成果:

对18333名儿童进行了BMI升高的查,跨种族/族裔群体的平等影响.
对程序和实施策略的高度忠实 (67-100%的使用率).
报告了高的程序可接受性和大量使用临床决策支持工具.

结论:

在初级保健中实施可扩展的儿科体重管理计划是可行的.
有效的策略可以改善儿童肥胖的查,识别和管理.
这种方法可以帮助减轻现有的健康差异.

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