核心程序要素为公平,有效参与慢性肌肉骨疼痛的生活方式医学计划的核心程序元素
Elsa M Snider1, Christine Y Gou2, Ling Chen3
1Kirksville College of Osteopathic Medicine, A.T. Still University, Kirksville, Missouri, USA.
概括
群体和远程医疗访问提高了慢性疼痛患者,特别是那些面临社会劣势的人,获得生活方式药物的机会. 这些方法改善了干预的参与和交付,以获得更好的健康结果.
科学领域:
- 生活方式 医学 医疗
- 数字健康数字健康
- 健康 公平 卫生 公平
背景情况:
- 慢性肌肉骨疼痛是一个日益关注的问题,生活方式医学干预措施显示出希望,但面临着交付挑战.
- 对于患有慢性疼痛和代谢相关疾病的患者,公平地获得生活方式医学计划仍然是一个重大障碍.
研究的目的:
- 确定影响慢性疼痛患者参与和有效提供生活方式药物的程序元素.
- 测试假设,社会弱势患者利用更多的群体和基于远程医疗的干预.
主要方法:
- 一个混合方法的研究是在三级保健学术中心的生活方式医学计划中进行的.
- 后勤回归分析了社会劣势 (区域贫困指数) 和访问模式 (组与个人,远程医疗与面对面) 之间的关联.
- 与38名患者进行的半结构面试探索了参与计划的感知方便者和障碍.
主要成果:
- 更糟糕的社会劣势与团队访问 (OR 1.13,p<.001) 和远程医疗访问 (OR 1.13,p<.001) 的增加相关.
- 患者重视该计划的整体,跨专业,以目标为导向的方法和临床医生的专业知识.
- 提议的改善措施包括加强保险覆盖,扩大诊所位置和开放后的节目.
结论:
- 团体访问,如共享医疗预约和远程医疗访问是改善平等获得生活方式医学的有效策略.
- 解决健康的社会决定因素和患者确定的需求可以优化生活方式医学计划的交付和有效性.
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