开发一个社区驱动的,当地采购的医疗定制餐饮模式:将医疗保健,农民和患者联系起来的试点项目
Julie Brown1, Ashton Potter2, Leandra Forman3
1Department of Dietetics and Human Nutrition, College of Agriculture, Food and Environment, University of Kentucky, Lexington, KY 40506, USA.
Nutrients
|February 27, 2026
概括
食品是药物计划可以通过提供来自当地农场的医疗定制餐 (MTM) 来改善健康. 这项研究表明,MTM降低了缩血压,并支持了当地农业.
科学领域:
- 营养科学 营养科学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 食品是医药 (FIM) 计划将营养整合到医疗保健中,但在社区能力和当地食品系统整合方面面临挑战.
- 开发了一个计划,以建立社区能力,以获得当地来源的医疗定制餐 (MTM) 模式.
- 这种模式旨在连接农民,医疗保健提供者和患者.
研究的目的:
- 评估基于社区的"食品是药物"计划的可行性和影响.
- 开发和实施当地采购的医疗定制餐 (MTM) 模式.
- 评估该计划对参与者的健康结果和当地经济效益的影响.
主要方法:
- 餐点由注册营养师设计,遵循美国心脏协会 (AHA) 和MyPlate营养指南.
- 配方被调整为冷和生产规模,使用来自26个肯塔基州中部农场的原料.
- 患有高血压或2型糖尿病 (T2D) 的参与者每周接受10次MTM,持续12周.
主要成果:
- 拥有完整数据的12名参与者表现出缩血压 (137.5至128.1毫米) 显著下降.
- 腹筋血压或BMI没有显著变化.
- 超过80%的食材来自当地,农场销售额为10,686美元,参与者的满意度很高.
结论:
- 基于社区的FIM模型使用当地MTM改善了健康结果,并为当地农民提供了经济利益.
- 加强社区能力对于扩大这些计划至关重要.
- 整合到医疗保健支付系统是可持续性的关键下一步.
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