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发展食品作为药物计划,以推进健康公平:从20年的实践中获得的见解
Olivia Thomas1, Cristina M Gago2, Kelsey A Egan3
1Nourishing Our Community, Boston Medical Center.
Current opinion in pediatrics
|December 9, 2025
概括
波士顿医疗中心 (BMC) 的养育我们的社区计划 (NoC) 为卫生系统提供了一个可复制的,以公平为中心的框架,以评估和扩展食品作为药物 (FAM) 倡议,解决健康结果和系统不平等.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 营养科学 营养科学
背景情况:
- 食品作为药物 (FAM) 运动将食品处方,医疗量身定制的餐饮和营养教育整合到医疗保健中.
- 很少有FAM计划评估食品不安全之外的长期可持续性,公平性或更广泛的系统层面影响.
- 波士顿医疗中心的养育我们的社区计划 (NoC) 是一个全面的,长期存在的基于卫生系统的FAM倡议.
研究的目的:
- 审查BMC的NoC计划所使用的可行,以公平为中心的评估策略.
- 为实施FAM干预措施的卫生系统提供可复制的框架.
- 为了解FAM程序的系统级实施做出贡献.
主要方法:
- 案例研究方法回顾了NOC计划的历史发展.
- 突出评估策略和数据收集方法的调整.
- 捕捉传统指标 (例如,粮食不安全) 和更广泛的措施 (患者体验,文化相关性,经济影响).
主要成果:
- 诺克计划的评估方法捕捉了临床和社区环境中的各种结果.
- 数据收集方法嵌入在程序操作中.
- 评估设计考虑了患者体验,文化相关性和当地经济影响以及粮食不安全指标.
结论:
- 在计划设计和评估中嵌入公平性对于FAM的可持续性和可扩展性至关重要.
- 诺克计划为卫生系统提供了可复制的框架.
- 这项研究推进了有关系统级FAM实施的文献,解决了个人健康和结构性不平等问题.
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