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在农村初级保健中实施虚拟,协作护理体重管理计划:试点结果和见解
Sarah Hales1,2, Caitlin Koob3, Jillian Harvey3
1Center for Telehealth, Medical University of South Carolina, Charleston, South Carolina, USA.
Telemedicine reports
|December 4, 2025
概括
这项研究试行了初级保健综合体重管理 (PCIWM) 计划,适应了对肥胖的协作护理管理. 试点数据表明PCIWM是南卡罗来纳州农村地区体重管理的可行方法.
科学领域:
- 肥胖和公共卫生问题
- 初级保健创新初级保健的创新
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在南卡罗来纳州,肥胖率不成比例地高,特别是在农村地区,体重管理服务的获取有限.
- 协作护理管理 (CoCM) 是一种基于证据的多学科护理模型,通常用于心理健康.
- 初级保健综合体重管理 (PCIWM) 计划是CoCM用于肥胖管理的新改编.
研究的目的:
- 描述PCIWM计划的试点实施情况.
- 确定改善PCIWM计划的采用和可持续性的战略.
主要方法:
- 一个多学科的团队 (RDN,PCP等). 在学术和农村初级保健环境中开发了PCIWM工作流.
- 成年患者的BMI>25公斤/平方米被招募,接受营养评估,医疗营养治疗和每月一次RDN会议.
- 从EHR,遭遇和调查中收集的数据使用描述性统计数据进行了分析.
主要成果:
- 试点包括61名成年患者 (平均年龄为46.8岁,85.3%为女性,65.5%为白人),平均BMI为41.82.2.
- 29%的参与者积极参与,平均有3.4次RDN访问; 63.6%的人坚持目标.
- 患者实现了平均BMI降低2.7%,51.9%的患者保持或减轻体重.
结论:
- PCIWM程序提供了一个独特的,可行的虚拟体重管理模型.
- 需要进一步的研究和政策宣传,以支持管理肥胖和相关健康风险的计划扩展.
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