预防性干预心脏代谢疾病的政策模式:系统性审查
Septiara Putri1,2, Giorgio Ciminata3, Jim Lewsey3
1Health Economics and Health Technology Assessment (HEHTA), University of Glasgow, Glasgow, UK. s.putri.2@research.gla.ac.uk.
BMC health services research
|May 1, 2025
概括
这项研究审查了心脏代谢疾病政策模型,发现质量和数据使用的显著差异. 提供了改进这些模型的建议,以获得更好的饮食干预策略.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 心脏代谢性疾病 (CMD),包括心血管疾病 (CVD) 和2型糖尿病 (T2DM),是导致疾病,死亡和医疗保健成本的主要原因.
- 有效的CMD预防依赖于数学模型来评估长期干预影响.
- 需要对政策模型的综合信息,以便在人口层面进行饮食干预.
研究的目的:
- 系统地审查和批判性地评估现有的心脏代谢疾病 (CMD) 政策模型.
- 提供当前CMD政策模式的概述,并评估它们在原始预防计划中的应用.
主要方法:
- 在MEDLINE,EMBASE,CINAHL,谷歌学者和开放灰色 (2000-2024) 的系统搜索.
- 关键词包括"心血管","糖尿病","决策模型"和"政策模型".
- 由三名审稿人使用菲利普斯等人使用的独立评估. 检查清单,遵守PRISMA指导方针.
主要成果:
- 32篇文章得到了批判性的评价.
- 大多数模型 (79%) 有明确的结构.
- 不到60%的人清楚地报告了数据质量和一致性.
结论:
- 在饮食干预的CMD政策模型的质量,结构和数据利用方面存在实质性的异质性.
- 建议建议加强CMD政策模型的概念化,方法严格性和适用于预防计划的适用性.
相关概念视频
Models of Health Promotion and Illness Prevention I
1.9K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
1.9K
Models of Health Promotion and Illness Prevention II
1.5K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.5K
Preventive Healthcare Services
943
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
943
Levels of Health Promotion and Illness Prevention
11.2K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
11.2K
Lifestyle Factors and Health
19
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
19
Concepts of Health and Illness
13.7K
Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
13.7K


