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推进实施和政策的卫生系统方法 食品是医药
Priyansh P Shah1, Monica Aggarwal2, Karen E Aspry3
1Department of Medicine, Albert Einstein College of Medicine, Bronx, New York.
JAMA health forum
|February 20, 2026
概括
食品是药物 (FIM) 将营养干预措施整合到医疗保健中,以对抗心血管疾病. 在改善健康结果和解决健康差异方面,FIM显示出有前途的前景,通过解决营养不良作为关键风险因素.
科学领域:
- 心血管医学 心血管医学
- 公共卫生 公共卫生
- 卫生政策 卫生政策
背景情况:
- 营养不良是心血管疾病 (CVD) 的主要可改变的风险因素,导致美国的显著发病率,死亡率和健康差异.
- 食品是药物 (FIM) 运动将营养干预措施整合到医疗保健中,以预防,管理和治疗与饮食有关的慢性疾病.
- 新兴研究表明,FIM干预措施,如产品处方和医疗定制餐,是改善心血管疾病结果的成本效益.
研究的目的:
- 突出临床医生和卫生系统在实施食品是药物 (FIM) 干预中的作用.
- 讨论FIM在解决心脏代谢疾病的根本原因,管理成本和促进健康公平方面的潜力.
- 强调需要继续进行研究,政策改革和临床医生参与,以推动FIM在医疗保健中的发展.
主要方法:
- 在医疗保健机构内对营养不安全和风险分层进行系统查.
- 通过结果测量实现闭环推工作流程和质量改进.
- 利用电子健康记录和多学科团队为FIM提供服务.
- 利用实施科学来规范FIM资格,剂量,持续时间和患者教育.
- 让临床医生参与研究,政策倡导和卫生系统领导.
主要成果:
- FIM干预措施在改善心血管疾病和相关健康结果方面表现有前途.
- 联邦和州立法努力越来越多地支持FIM方法,包括医疗补助豁免.
- 实施FIM需要在卫生系统内进行系统的查,转诊和质量监测.
结论:
- 食品是药物 (FIM) 为解决心脏代谢疾病,降低医疗保健成本和推进健康公平提供了重要机会.
- 分断的覆盖范围和政策途径需要持续的研究,政策改革和临床医生的参与.
- 将FIM整合到基于价值的护理模式中可以提高其可扩展性和对人口健康的影响.
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