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临床医生报告的障碍和需要实施持续的葡萄糖监测
Tristen Hall1, Meredith K Warman2, Tamara Oser2
1From the Department of Family Medicine, University of Colorado Anschutz Medical Campus Aurora, CO; American Academy of Family Physicians National Research Network, Leawood, KS. tristen.hall@ucdenver.edu.
Journal of the American Board of Family Medicine : JABFM
|October 25, 2024
概括
初级保健临床医生面临的障碍是为糖尿病患者处方持续血糖监测 (CGM),包括保险覆盖和时间限制. 需要增加教育和支持,以扩大CGM在初级保健机构的使用.
科学领域:
- 糖尿病管理 糖尿病管理
- 初级医疗保健医学 一级医疗保健医学
- 医疗技术采用 医疗技术采用
背景情况:
- 持续血糖监测 (CGM) 改善了1型和2型糖尿病患者的健康结果.
- 美国糖尿病协会建议使用CGM,但主要是内分泌学处方.
- 大多数糖尿病护理,特别是2型糖尿病,发生在初级保健机构.
研究的目的:
- 调查初级保健临床医生对CGM处方障碍的看法.
- 确定促进在初级保健中采用CGM所需的资源.
主要方法:
- 使用半结构面试对21个州55名初级保健临床医生进行定性研究.
- 参与者是通过基于实践的研究网络招募的.
- 使用快速定性分析来确定关键主题.
主要成果:
- 临床医生认识到CGM对不同患者群体的好处.
- 确定的主要障碍是缺乏保险覆盖和时间限制.
- 基本资源包括临床医师教育,辅助人员和EHR整合.
结论:
- 初级保健临床医生在开处方CGM时遇到重大挑战.
- 初级保健提供者之间有很强的兴趣,以提高他们的CGM知识.
- 改善临床医师教育和扩大保险覆盖面对在初级保健中更广泛地实施CGM至关重要.
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