慢性病的医学营养疗法:获得和利用率低
Promise Lee1, Joanne Kouba2, Elizabeth Yakes Jimenez3
1Stritch School of Medicine, Loyola University Chicago, Maywood, IL.
Advances in kidney disease and health
|March 7, 2024
概括
医疗营养治疗 (MNT) 建议用于慢性病 (CKD),但未得到充分利用. 改善MNT访问和提供者推对于更好的CKD结果和降低医疗保健成本至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 营养科学 营养科学
背景情况:
- 慢性病 (CKD) 影响了美国65岁以上成年人的近一半,对医疗保险支出做出了重大贡献.
- 功能衰竭和高医疗保健支出需要策略来减缓CKD的进展.
研究的目的:
- 分析医疗营养治疗 (MNT) 在被诊断为CKD的医疗保险受益人中的使用情况.
- 评估注册饮食营养师 (RDNs) 的可用性,特别是那些在脏营养方面获得董事会认证的人,相对于美国各州的CKD患病率.
- 识别障碍,并提出干预措施,以增加MNT的使用.
主要方法:
- 在被诊断为CKD的医疗保险受益人中分析MNT利用率.
- 将RDN和认证脏营养学家的数量与各州估计的CKD人口进行比较.
- 对MNT的当前指导方针和保险覆盖的审查.
主要成果:
- 尽管有建议和保险覆盖,MNT的使用率仍然很低.
- 在许多州,相对于CKD人口,RDN和经过董事会认证的脏营养学家的短缺显著.
- 在MNT提供商的可用性方面,国家层面存在显著的差异.
结论:
- 低MNT利用率和不足的RDN可用性在管理CKD方面带来了挑战.
- 需要采取干预措施,重点是改善MNT退款,扩大远程营养服务和增加医疗保健提供者的转诊.
- 优化MNT的交付可以改善CKD的结果,并降低医疗保健成本.
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