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Updated: Jun 27, 2025

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在医疗机构实施食品是药物计划:叙述性审查
Bailey Houghtaling1,2, Eliza Short3, Carmen Byker Shanks3
1Gretchen Swanson Center for Nutrition, Omaha, NE, USA. bhoughtaling@centerfornutrition.org.
Journal of general internal medicine
|April 25, 2024
概括
食品是医药 (FIM) 计划改善了慢性病患者的低收入患者获得健康食品的机会. 实施科学确定了医疗保健机构的关键障碍和促进者,以指导计划的整合和可持续性.
科学领域:
- 实施科学 实施科学
- 公共卫生 营养 公共卫生 营养
- 医疗保健管理的管理
背景情况:
- 食品是药物 (FIM) 计划旨在为面临粮食不安全和饮食相关慢性疾病的个人提供营养食品.
- 尽管FIM计划有改善美国食品和营养安全的承诺,但在医疗保健机构内需要实施指导.
- 实施科学镜头对于理解和解决整合FIM计划的挑战至关重要.
研究的目的:
- 系统地审查现有的关于在美国医疗保健机构中整合"食品是药物"计划的障碍和促进者的文献.
- 应用探索,准备,实施和维持 (EPIS) 框架,专注于内部背景,分析FIM计划的实施.
- 为医疗机构,提供者和合作伙伴制定基于证据的实施检查清单.
主要方法:
- 对同行评审和灰色文献进行了叙事审查.
- 选来源以获取有关美国医疗保健机构FIM计划实施障碍和促进因素的信息.
- 探索,准备,实施和维持 (EPIS) 框架,特别是其内部上下文构造,指导了分析.
主要成果:
- 包括31个来源,其中90%详细介绍了EPIS内部背景促进者,84%描述了FIM计划障碍.
- 确定了与质量和忠诚度监测和支持以及组织人员配置流程相关的共同障碍和促进者.
- 在所有EPIS内部环境结构中观察到障碍和促进者,突出显示了FIM集成的复杂性.
结论:
- 在医疗保健环境中实施FIM计划的障碍和促进因素是多方面的,涉及各种组织和个人因素.
- 一个基于EPIS的实施检查清单被开发出来,以支持医疗保健组织整合FIM计划.
- 建议进一步将FIM倡议与实施科学框架保持一致,以加强证据基础并支持从业者.
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