社区卫生工作者在改善1型糖尿病青少年设备使用中的作用:基于网络的定性研究,使用以人为本的设计与临床医生
Charlotte Wang Chen1,2, Alexa Jacqueline Durante1, Margaret Grace Maynard2
1Department of Endocrinology, Children's Hospital at Montefiore Einstein, Bronx, United States.
JMIR diabetes
|August 28, 2025
概括
社区卫生工作者可以解决与健康相关的社会需求和1型糖尿病 (T1D) 的黑人和西班牙裔年轻人的护理协调障碍. 临床医生确定了CHW干预的关键领域,以改善技术使用和支持.
科学领域:
- 医疗公平
- 儿科内分泌学
- 社区健康
背景情况:
- 在1型糖尿病 (T1D) 的黑人和西班牙裔年轻人中,糖尿病技术的使用存在持续不平等.
- 社区卫生工作者 (CHW) 在解决糖尿病设备采用的社会和临床障碍方面表现出潜力.
- 临床医生的观点对于开发有效的CHW模型至关重要.
研究的目的:
- 在患有T1D的黑人和西班牙裔年轻人中发现糖尿病技术使用的障碍.
- 与临床医生共同创建CHW干预模型的解决方案.
- 解决青年,家庭和医疗保健提供者所面临的挑战.
主要方法:
- 在纽约布朗克斯的17位糖尿病医生和学校进行了以人为本的设计研讨会.
- 使用定性诱导分析来检查工作坊数据.
- 专注于障碍的构想和CHW干预原型的共同设计.
主要成果:
- 临床医生认为与健康相关的社会需求 (HRSN) 和数字沟是糖尿病技术普及的关键障碍.
- 面临的挑战包括医疗保健系统,保险和药房福利.
- 临床医生支持的障碍包括学校有限的资源和解决问题的时间限制.
结论:
- 临床医生强调需要专门的技术支持,加强护理协调,改善家庭和临床医生的沟通.
- 一个CHW模型可以解决HRSN问题,提供同行支持,作为学校联系人,并提供行政支持.
- 需要进一步共同设计和试点测试,以完善针对T1D的青少年的CHW模型.
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