通过健康儿童访问在儿科中对1型糖尿病进行人口查:实施的障碍和促进者
Christie Gilbert Klaczko1,2, Nicole Walters1, Alexis E Blackburn3
1Department of Genomic Health, Geisinger, Danville, PA.
概括
在健康儿童访问期间对1型糖尿病 (T1D) 的查对父母和临床医生来说是可以接受的. 解决成本和教育等障碍是成功将T1D查纳入初级保健的关键.
科学领域:
- 内分泌学 在内分泌学.
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 1型糖尿病 (T1D) 查提供了早期检测,预防了糖尿病酸性糖尿病等并发症,并使人们能够获得新的治疗方法.
- 全民T1D查讨论正在进行中,建议初级保健访问作为可扩展的方法.
- 了解多层次的障碍和促进因素对于在初级保健中实施T1D自身抗体查至关重要.
研究的目的:
- 在健康儿童访问期间探索1型糖尿病自身抗体查的障碍物和促进因素.
- 评估基于初级保健的T1D查的可接受性,适当性和可行性.
主要方法:
- 混合方法方法使用与家长,临床医生和医疗保险公司进行半结构面试.
- 调查部署给儿科初级保健临床医生,评估实施措施.
- 通过使用适应的先验代码书进行双重编码分析的定性数据.
主要成果:
- 大多数家长和接受调查的临床医生都认为T1D查是可以接受和适当的.
- 确定的障碍包括缺乏教育,抽血担忧,成本,安排和对结果的恐惧.
- 促进者包括教育,降低成本,方便的查,支持性指导方针和机构支持.
结论:
- 将初级保健纳入1型糖尿病人口查模型是必要的.
- 通过初级保健健康儿童访问成功查T1D取决于解决已识别的障碍和促进促进者.
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