2型糖尿病患者的疾病管理计划.
Mette Bender1, Charlotte Glümer2, Henrik Brønnum-Hansen1
1Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
European journal of public health
|October 12, 2024
概括
社会经济和种族因素影响参与2型糖尿病管理计划. 较低的社会经济群体和少数民族更多地参与体育训练,这表明定制的项目元素可以改善健康公平.
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
- 慢性疾病管理 慢性疾病管理
背景情况:
- 2型糖尿病管理计划旨在改善患者的治疗结果.
- 了解计划参与中的社会经济和种族差异对于健康公平至关重要.
研究的目的:
- 调查社会经济地位 (SEP) 和种族因素与提供和参与2型糖尿病疾病管理计划之间的联系.
- 确定如何在不同患者群体中使用不同的程序组件.
主要方法:
- 分析了来自3464名在哥本哈根 (2016-2021) 的糖尿病管理计划中转介的个人数据.
- 普森回归模型被用来估计SEP指标 (教育,收入,就业,原籍国) 与记录/参与计划活动之间的关联.
- 检查了参与咨询,饮食教育,电话支持,患者教育和体育训练.
主要成果:
- 在SEP组中观察到咨询,饮食教育和患者教育预约会议的微小差异.
- 虽然较低的SEP组有时预订了更多的会议 (例如,为失业者提供饮食教育),但在较高的SEP组中,参与率往往相似或更高.
- 体育训练课程在SEP较低的女性和少数民族中预订和参与率显著更高.
结论:
- 该研究强调,特定的项目元素和增加预订的课程可以鼓励弱势女性参与,特别是体育训练.
- 研究结果表明,量身定制的计划设计可以促进对2型糖尿病管理的公平参与.
- 结果为决策者和医疗保健专业人员提供了见解,以创造更具包容性的糖尿病护理活动.
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