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扩大糖尿病预防计划和糖尿病自我管理教育和支持服务在整个卫生系统的规模
Nisa M Maruthur1,2,3,4, Siawlin Chan5, Eugene Arnold6
1Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Clinical diabetes : a publication of the American Diabetes Association
|December 24, 2025
概括
一个多方策略显著增加了参与糖尿病预防计划 (DPP) 和糖尿病自我管理教育和支持 (DSMES) 服务. 这些协调干预措施有效地促进了对至关重要的,未充分利用的糖尿病护理计划的参与.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生干预 公共卫生干预
- 糖尿病管理 糖尿病管理
背景情况:
- 糖尿病预防计划 (DPP) 和糖尿病自我管理教育和支持 (DSMES) 是基于证据的,但未得到充分利用.
- 学术卫生系统在扩大这些关键的糖尿病护理服务方面面临着挑战.
研究的目的:
- 描述和评估扩大DPP和DSMES利用的多方策略.
- 评估实施的策略对患者参加这些计划的影响.
主要方法:
- 实施了一项协调,多层次的战略,包括简化推,嵌入式教育者,领导信息和社区伙伴关系.
- 在一个大型学术卫生系统中监控DPP和DSMES的转诊和入学数据.
主要成果:
- 在两项计划的推中实现了大幅增加.
- 在4397名参与DPP的患者中,10.8%的患者参加了DPP.
- 35.9%的10,210名患者参加了DSMES.
结论:
- 协调,多层次的干预措施有效地增加了与DPP和DSMES的接触.
- 这些策略可以增强未充分利用的,基于证据的糖尿病护理计划的覆盖范围.
- 学术卫生系统可以成功地扩展糖尿病预防和管理服务.
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