将营养服务纳入初级保健：安大略省汉密尔顿市的经验
Integrating nutrition services into primary care: Experience in Hamilton, Ont.
作者信息
Crustolo Anne Marie, Ackerman Sari, Kates Nick, Schamehorn Sherri
机构信息
School of Nursing, McMaster University, Hamilton, Ont.
出版信息
Can Fam Physician. 2005 Dec;51(12):1647-53.
Abstract
PROBLEM BEING ADDRESSED
Nutrition services can have an important role in prevention and management of many conditions seen by family physicians, but access to these services in primary care is limited.
OBJECTIVE OF PROGRAM
To integrate specialized nutrition services into the offices of family physicians in Hamilton, Ont, in order to improve patient access to those services, to expand the range of problems seen in primary care, and to increase collaboration between family physicians and registered dietitians.
PROGRAM DESCRIPTION
Registered dietitians were integrated into the offices of 80 family physicians. In collaboration with physicians, they assessed, treated, and consulted on a variety of nutrition-related problems. A central management team coordinated the dietitians' activities.
CONCLUSION
Registered dietitians can augment and complement family physicians' activities in preventing, assessing, and treating nutrition-related problems. This model of shared care can be applied to integrating other specialized services into primary care practices.
摘要
解决的问题
营养服务在家庭医生所诊治的许多疾病的预防和管理中可发挥重要作用，但初级保健中获得这些服务的机会有限。
项目目标
将专业营养服务整合到安大略省汉密尔顿市家庭医生的诊所中，以改善患者获得这些服务的机会，扩大初级保健中所诊治问题的范围，并加强家庭医生与注册营养师之间的合作。
项目描述
注册营养师被整合到80名家庭医生的诊所中。他们与医生合作，对各种营养相关问题进行评估、治疗和咨询。一个中央管理团队协调营养师的活动。
结论
注册营养师可以增强并补充家庭医生在预防、评估和治疗营养相关问题方面的活动。这种共享护理模式可应用于将其他专业服务整合到初级保健实践中。
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本文引用的文献
1
Nutrition education practices and opinions of alberta family physicians.阿尔伯塔省家庭医生的营养教育实践和观点。
Can Fam Physician. 1990 Jan;36:53-8.
2
3
Position of the American Dietetic Association: integration of medical nutrition therapy and pharmacotherapy.美国饮食协会的立场：医学营养治疗与药物治疗的整合
J Am Diet Assoc. 2003 Oct;103(10):1363-70. doi: 10.1016/j.jada.2003.08.016.
4
Nutritional advice in Canadian family practice.加拿大家庭医疗中的营养建议。
Am J Clin Nutr. 2003 Apr;77(4 Suppl):1011S-1015S. doi: 10.1093/ajcn/77.4.1011S.
5
Mental health care and nutrition. Integrating specialist services into primary care.精神卫生保健与营养。将专科服务纳入初级保健。
Can Fam Physician. 2002 Dec;48:1898-903.
6
Counsellors in primary care: benefits and lessons learned.初级保健中的顾问：益处与经验教训。
Can J Psychiatry. 2002 Nov;47(9):857-62. doi: 10.1177/070674370204700907.
7
Position of the American Dietetic Association: the role of dietetics professionals in health promotion and disease prevention.美国饮食协会的立场：饮食专业人员在健康促进和疾病预防中的作用。
J Am Diet Assoc. 2002 Nov;102(11):1680-7. doi: 10.1016/s0002-8223(02)90359-7.
8
Improving primary care for patients with chronic illness.改善慢性病患者的初级护理。
JAMA. 2002 Oct 9;288(14):1775-9. doi: 10.1001/jama.288.14.1775.
9
Position of the American Dietetic Association: weight management.美国饮食协会立场：体重管理
J Am Diet Assoc. 2002 Aug;102(8):1145-55. doi: 10.1016/s0002-8223(02)90255-5.
10
American Diabetes Association position statement: evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications.美国糖尿病协会立场声明：糖尿病及相关并发症治疗与预防的循证营养原则及建议
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