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糖尿病管理在社会需求的背景下:从护理团队成员的角度进行定性过程评估
Health care management review
|February 11, 2026
概括
解决患者的社会需求,如粮食不安全,对于管理2型糖尿病 (T2D) 至关重要. 提高护理团队的认识和资源的可访问性可以提高T2D的临床结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床实践 临床实践
- 健康的社会决定因素
背景情况:
- 非医疗社会需求 (例如,粮食不安全,住房不稳定) 显著阻碍了2型糖尿病 (T2D) 的有效临床管理.
- 解决这些与健康相关的社会需求对于改善T2D护理中的患者结果至关重要.
研究的目的:
- 确定影响护理团队成员解决影响T2D管理的社会需求的能力的上下文因素和过程.
- 了解门诊机构如何更好地支持那些有影响糖尿病护理的社会需求的患者.
主要方法:
- 与38名不同的护理团队成员 (医生,社会工作者,卫生工作者等) 进行了半结构化的定性访谈. ) 的情况.
- 采访与随机对照试验一起进行,重点关注粮食不安全和T2D结果.
- 分析涉及代编码和使用过程评估框架对成绩单进行主题分析.
主要成果:
- 关键的上下文因素包括远程医疗政策,保险覆盖和组织间的合作伙伴关系.
- 实施过程包括访问前 (查,运输),访问期间 (意识,资源沟通) 和访问后 (推) 的阶段.
- 影响机制包括支持人员和社会需求计划/资源的可用性.
结论:
- 加强伙伴关系和后勤考虑对于提高对社会支持服务的认识和使用至关重要.
- 促进关于服务使用的双向沟通,有助于为面临社会需求的患者提供更好的T2D管理.
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