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Updated: May 2, 2026

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在退伍军人事务学习卫生系统中实施先进的综合糖尿病护理
Matthew J Crowley1,2, Sarah L Cutrona3,4, Amy S Jeffreys5
1Durham Veterans Affairs Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham, NC, USA. matthew.crowley@va.gov.
Journal of general internal medicine
|November 4, 2025
概括
退伍军人事务 (VA) 学习健康系统 (LHS) 成功实施了高级综合糖尿病护理 (ACDC) 远程医疗计划,显著改善了2型糖尿病 (T2D) 患者的血糖控制. 该计划展示了LHS框架如何增强现实世界的医疗保健实践变化.
科学领域:
- 医疗保健管理的管理
- 数字健康数字健康
- 糖尿病 护理 糖尿病 护理
背景情况:
- 远程医疗干预可以提高2型糖尿病 (T2D) 患者的血糖控制.
- 有效的远程医疗计划需要设计考虑真实世界的吸收和学习健康系统 (LHS) 的影响.
研究的目的:
- 检查退伍军人事务 (VA) LHS如何利用高级综合糖尿病护理 (ACDC) 远程医疗计划促进实践变革.
- 在学习健康系统综合框架 (LHS-CF) 分类学中分析ACDC计划对2型糖尿病 (T2D) 管理的实施情况.
主要方法:
- 对ACDC计划在LHS环境中的实施进行评估.
- 对1154名参与者的临床血红蛋白A1c (HbA1c) 数据,ACDC遇到完成率和参与者/工作人员采访的分析.
- 该ACDC计划是一个为期6个月的干预,利用VA远程卫生基础设施进行远程监控,自我管理支持和药物管理.
主要成果:
- ACDC的发展利用了LHS-CF启用条件,包括劳动力准备,强大的数据系统,VA创新投资和协作文化.
- 该计划在6个月内从9.7%降低到8.0%的HbA1c显著降低 (p < 0.0001),在4年内持续获得好处.
- ACDC以诚信实施,受到参与者和工作人员的积极评价,并为证据建设,护理翻译和创新做出了贡献.
结论:
- 美国VA的LHS提供了有利于开发,测试和实施ACDC等远程医疗计划的条件.
- 在VA LHS中故意开发的ACDC计划,准备在全国范围内改善退伍军人控制不良T2D的结果.
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