扩大糖尿病自我管理教育以解决与健康相关的社会需求:一个定性可行性研究
Niko Verdecias-Pellum1, Gianna D'Apolito1, Abby M Lohr2
1College of Health Solutions, Arizona State University, Phoenix, AZ 85004, USA.
International journal of environmental research and public health
|January 28, 2026
概括
将与健康相关的社会需求 (HRSN) 查纳入糖尿病自我管理教育 (DSME) 计划是可行的,但需要支持. 社区组织 (CBOs) 是全面糖尿病护理的关键合作伙伴.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 糖尿病自我管理教育 (DSME) 改善了血糖控制,但可能受到未解决的健康相关社会需求 (HRSN) 的限制.
- 社区组织 (CBOs) 是提供整体护理的可信任环境,但在现有计划中解决HRSN方面面临挑战.
- 现有的DSME程序结构可能会限制对患者的社会需求的响应,影响整体有效性.
研究的目的:
- 检查将HRSN评估整合到CBOs内的DSME交付中的可行性.
- 确定影响DSME计划中实施HRSN查的上下文因素.
- 探索促进者和领导者的观点,以解决糖尿病教育中的HRSN问题.
主要方法:
- 在城市和农村美国环境中,在三个CBO中进行定性多个案例研究设计.
- 与15名DSME促进者和计划领导人的半结构化采访.
- 基于实施研究综合框架的指导分析.
主要成果:
- 虽然DSME的结构化设计促进了忠诚度,但限制了对HRSN的响应能力.
- 辅导员可以接受HRSN查,但面临障碍,包括基础设施有限,角色明确和培训.
- 由于对HRSN支持的期望增加而没有足够的资源,CBOs面临着可持续性问题.
结论:
- 建议与航海员或社区卫生工作者并行支持模型进行HRSN查和转诊.
- 将HRSN评估整合到DSME可以加强参与,并接触到受社会需求影响最大的人群.
- 成功实施需要专门的资金,劳动力发展和跨部门的合作,以支持CBOs在慢性疾病管理中.
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