在大型学术卫生系统内的初级保健诊所中实施和评估"运动是医学"
John Kevin Ong Dayao1, Caroline E L Duffy2,3,4, Amalia M Cristiano5
1University of California San Diego School of Medicine, La Jolla, California, USA johnkevindayao@gmail.com.
Family medicine and community health
|February 2, 2024
概括
运动是药物 (EIM) 倡议在初级保健中被证明是可行的和有效的,增加了患者的体力活动 (PA) 讨论. 这个全球计划支持医疗保健提供者在例行访问期间促进健康的生活方式行为.
科学领域:
- 公共卫生和预防医学
- 医疗保健服务研究 医疗服务研究
- 主要护理实践的初级护理实践
背景情况:
- 运动是药物 (EIM) 是一项全球倡议,旨在促进医疗保健提供者对体力活动 (PA) 的评估和咨询.
- 将EIM整合到常规的初级保健中可以增强患者对健康生活方式行为的参与.
研究的目的:
- 评估EIM倡议在初级保健机构的可行性,采用,实施和有效性.
- 从患者,临床医生和医疗保健工作人员的角度评估EIM的影响.
主要方法:
- 一种混合方法的方法,结合了电子健康记录 (EHR) 数据,调查和采访在五个初级保健诊所.
- 使用了实用稳健实施和可持续性模型 (PRISM) 和学习评估模型.
- 评估范围,有效性,采用,实施和维护 (RE-AIM) 使用体力活动生命体征 (PAVS) 评分和定性数据.
主要成果:
- 实施忠实性随着时间的推移显示出一致性,在COVID-19大流行早期的虚拟访问期间,忠实性更高.
- 对于那些在基线不符合指南的患者,平均每周的PA (PAVS得分) 显著增加.
- 临床医生报告的讨论PA的时间增加了35%,并且在EIM实施后53%的提供者保持稳定.
结论:
- 该研究证实了EIM在一个大型学术卫生系统的初级保健中可行性,采用,实施和维护.
- 对于初级保健提供者来说,EIM是一个有价值的模型,可以有效地解决健康的生活方式行为.
- 该倡议通过将PA推广纳入常规护理来证明改善人口健康的潜力.
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