围产期食品是医学计划的实施和影响:一种定性研究研究
Laura E Balis1, Amy Yaroch1, Shelly Palmer1
1Gretchen Swanson Center for Nutrition, Omaha, Nebraska.
Journal of the Academy of Nutrition and Dietetics
|February 14, 2024
概括
食品是药物 (FIM) 计划改善孕妇和产后妇女的营养安全. 研究表明,这些计划可以通过伙伴关系,资金和政策来采用和维护,使不同的人口受益.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 营养科学 营养科学
背景情况:
- 改善健康的社会决定因素,如获得营养食品,对于健康公平至关重要.
- 怀孕和产后期间的营养不安全会对产妇和分娩的结果产生负面影响.
- 食品是药物 (FIM) 计划将食品整合到医疗保健中,以解决营养不安全问题,但对围产期FIM的研究有限.
研究的目的:
- 探索围产期FIM计划对公共卫生的影响.
- 了解项目实施者和支持者的观点.
- 确定加强FIM计划采用,实施和维护的战略.
主要方法:
- 使用半结构面试进行的定性研究.
- 采访指南基于覆盖范围,有效性,采用,实施,维护 (RE-AIM) 框架.
- 在美国 (2022-2023) 采访了16名项目实施者和20名项目支持者,通过演性主题分析进行分析.
主要成果:
- 围产期FIM计划通过医疗保健系统到达优先人群.
- 有效度指标包括营养模式,做法和ROI.
- 采用是由伙伴关系,资金和政策推动的;维护是由政策,证据,资金和伙伴关系推动的.
- 实施战略涉及财政支持和基础设施变革.
结论:
- 需要确定围产期FIM计划的核心功能和可适应的形式.
- 标准化的评估指标可以增加计划的采用和支持.
- 增强的FIM计划可以改善面临健康差异的围产期人口的结果.
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