使用"将研究转化为实践"框架,在初级保健中开发糖尿病预防干预措施:一种混合方法研究.
Eva Tseng1,2, Katherine Smith3, Jeanne M Clark4,2,5
1Johns Hopkins University School of Medicine, Baltimore, Maryland, USA etseng3@jhmi.edu.
开发了一种新的临床途径,即START糖尿病预防,以增加初级保健中糖尿病前干预的采用率. 这种基于证据的方法解决了障碍,并促进了更好的糖尿病预防策略.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 临床干预 临床干预
背景情况:
- 糖尿病前期影响到三分之一的美国成年人,增加2型糖尿病的风险.
- 像糖尿病预防计划这样的有效干预措施存在,但面临着实施差距.
- 将研究转化为糖尿病前期预防的日常护理仍然是一个挑战.
研究的目的:
- 将研究转化为实践 (TRiP) 框架应用于开发糖尿病前期预防干预措施.
- 确定在初级保健中实施糖尿病预防策略的障碍和促进因素.
- 创建一个可操作的计划和绩效措施,以增加干预的采用.
主要方法:
- 在三个阶段中使用了TRiP框架:证据总结,障碍识别和绩效测量.
- 针对糖尿病前期管理实践,对电子健康记录进行了回顾性分析.
- 与初级保健医生,支付者领导人和患者进行了深入采访.
主要成果:
- 追溯分析显示,糖尿病前期患者的糖尿病预防干预措施的吸收率较低.
- 利益相关者采访显示,患者和临床医生在糖尿病前期和预防计划方面存在知识差距.
- 开发了START糖尿病预防临床途径,这是一个带有绩效指标和资源的变化包.
结论:
- TRiP框架促进了定制干预措施的开发,以增加糖尿病前期治疗的普及率.
- START糖尿病预防临床途径为初级保健机构提供了一个可适应的模型.
- 这种干预策略可用于预防其他慢性疾病.
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