初级保健提供者对糖尿病预防计划推的观点:在各种推模式中进行了定性比较研究
Cara Stephenson-Hunter1, Christopher J Gonzalez2, Stacey Franco1
1Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.
初级保健提供者面临的挑战是将患者转移到糖尿病预防计划 (DPP). 解决患者参与障碍和提高医疗服务提供者的知识,可以提高DPP推服务不足的人群.
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
- 预防医学 预防医学
背景情况:
- 糖尿病预防计划 (DPP) 是有效的,但未得到充分利用,特别是男性和少数群体.
- 初级保健提供者 (PCP) 的低转诊率限制了DPP的覆盖范围,并加剧了健康差异.
研究的目的:
- 探讨PCP对影响DPP转介的因素的观点.
- 确定公平的PCP推和患者参与DPP的障碍和促进者.
主要方法:
- 定性研究涉及22名来自大型综合卫生系统的PCP的半结构面试.
- 采访通过Zoom进行,匿名化,转录,并使用常量比较方法进行分析.
主要成果:
- 四个关键主题出现了:感知到的患者参与障碍 (基础设施,可访问性,社会需求),感知到的DPP有效性问题 (尤其是男性和弱势群体),感知到的PCP自我有效性 (知识差距,机会有限),以及改善转诊的建议.
- 在高参考和低参考PCP之间观察到前景的显著差异.
结论:
- 根据PCP的观点,在将糖尿病前期患者转诊给糖尿病前期患者方面存在重大挑战,特别是在服务不足的人群中.
- 结果可以为有针对性的干预提供信息,以改善公平的DPP转诊和参与,最终降低糖尿病风险.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
06:16Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
相关概念视频
Preventive Healthcare Services
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Diabetes Mellitus: Type 2 and Gestational
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
