在医疗保健提供者推后,影响患者参加社区体育活动计划的因素:混合方法研究
Leah M Schumacher1, Jennifer L Trilk2, Lia K McNulty1
1Temple University, Philadelphia, PA, USA.
Journal of primary care & community health
|December 19, 2024
概括
结构化的体育活动计划可以改善慢性疾病的管理. 一个临床到社区模式显示了38.7%的入学率,费用和时间是患者转移到体育活动计划的关键障碍.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结构化的体力活动 (PA) 对于预防和治疗慢性疾病至关重要.
- 经常缺乏系统的方法来识别患者和注册PA程序.
- 运动是医学格林维尔 (EIMG) 模型将慢性疾病的初级保健患者与社区PA计划联系起来.
研究的目的:
- 评估影响患者参加新型临床到社区体育活动计划的因素.
- 为了识别入学"练习是医学格林维尔 (EIMG) "倡议的障碍和促进者.
主要方法:
- 在12个诊所中,在18个月内采用混合方法设计.
- 量化分析比较了使用电子健康记录的注册与未注册转诊患者的特征.
- 与非入学者进行了定性半结构面试,以探索入学障碍和促进者.
主要成果:
- 在217名符合条件的转诊患者中,有84人 (38.7%) 加入了PA计划.
- 与非注册者相比,注册者患高胆固醇血症的患病率明显高 (73.8%与57.9%,P=.02).
- 定性发现揭示了积极推体验,患者动机/支持以及外部障碍 (成本,时间) 的主题.
结论:
- 结果可以改进EIMG模型,以提高患者入学率及其对健康的影响.
- 该研究为在其他卫生系统中开发类似的临床到社区PA计划提供了见解.
- 解决成本和时间等障碍对于提高计划可访问性和有效性至关重要.
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