在城市公共卫生保健系统中试点植物性生活方式医学计划:评估需求和实施
Stephanie L Albert1, Rachel E Massar1, Lorraine Kwok1
1Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA (SLA, REM, LK); Department of Medicine, NYC Health + Hospitals/Bellevue, New York, NY, USA (LC, KP, SJ, SS, MM); Department of Medicine, NYU Grossman School of Medicine, New York, NY, USA (SJ, SS, MM); and Office of Ambulatory Care and Population Health, NYC Health + Hospitals, New York, NY, USA (MM).
一个以植物为基础的生活方式医学计划在公共卫生保健环境中显示出高需求,证明了它对寻求更好的健康和体重管理的参与者的价值. 在安全网的背景下,实施面临着挑战,突出了未来改进和研究的领域.
科学领域:
- 生活方式 医学 医疗
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 生活方式干预对于降低心脏代谢风险至关重要.
- 植物性饮食提供长期的心脏代谢健康和寿命的好处.
- 在资源有限的临床环境中实施这些计划,如安全网医疗保健系统,带来了独特的挑战.
研究的目的:
- 在大型公共卫生保健系统中评估基于植物的生活方式医学计划的需求和实施可行性.
- 在安全网的背景下,识别程序实施和参与者访问的促进者和障碍.
主要方法:
- 进行了混合方法实施评估.
- 调查评估了参与者的需求和动机.
- 定性访谈和重点小组收集了利益相关者和参与者的有关可行性和挑战的反.
主要成果:
- 节目需求很高,超过了可用容量.
- 参与者的关键动机包括获得生活控制,减少药物服用和减肥.
- 成功的促进者包括项目团队,方法和资源,但注意到了行政/付款人问题和访问障碍.
结论:
- 植物性生活方式医学计划被利益相关者和参与者认为是有价值的,尽管在安全网环境中面临实施和访问的挑战.
- 结果为在类似的环境中复制此类程序提供了指导.
- 未来的研究应该包括随机对照试验,以确定临床结果.
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