在联邦资格医疗中心对产品处方计划进行动态的,多层次的过程评估:2017-2021年描述,实施和基础设施
Kelly R Ylitalo1, Wendy Cox2, Kathryn M Janda-Thomte1
1Department of Public Health, Baylor University, Waco, TX, USA.
Translational behavioral medicine
|April 20, 2024
概括
产品处方 (PRx) 计划改善了粮食不安全患者获得新鲜蔬菜的机会. 虽然最初的赎回率很高,但补充率很低,表明需要改进计划.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- "食物作为药物" (FAM) 运动强调了饮食和食物获取在健康中的关键作用.
- 粮食不安全和有限的新鲜农产品获取是影响慢性疾病管理的重大公共卫生挑战.
研究的目的:
- 评估患者和医生参与旨在增加蔬菜消费的产品处方 (PRx) 计划.
- 在医疗保健环境中评估跨部门,季节性PRx倡议的可行性和影响.
主要方法:
- 一个联邦合格健康中心,一个再生农场和一个学术机构之间的合作伙伴关系在2017-21年实施了一项PRx计划.
- 患者获得了在收获季节赎回的农产品盒的"处方",调查评估了粮食不安全,满意度和信心.
- 医生调查评估了项目知识,动机和患者感知到的好处.
主要成果:
- 超过8000名患者获得了处方药,最初的赎回率在64.5%至82.7%之间.
- 参与者中普遍存在粮食不安全 (70.8%的人担心食物会耗尽).
- 接受补充的患者报告了高满意度 (95.8%) 和信心 (94.2%),尽管补充率仍然很低 (6.8%-16.7%).
结论:
- 在多个医疗保健系统中,季节性产品处方计划是可行的,这表明改善新鲜产品获取的潜力.
- 医生报告说,他们对PRx有很高的信心和知识,原因是患者的慢性疾病,社会经济地位和粮食不安全.
- 进一步的研究对于优化计划实施和提高患者补充率以获得持续影响至关重要.
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