Young Paul C, DeBry Sandra, Jackson W Daniel, Metos Julie, Joy Elizabeth, Templeman Mark, Norlin Chuck
The University of Utah School of Medicine, Salt Lake City, UT 84158, USA.
Clin Pediatr (Phila). 2010 Oct;49(10):964-9. doi: 10.1177/0009922810370056.
To determine if participation in a learning collaborative (LC) would improve care processes for prevention, early recognition, and treatment of childhood obesity by primary care physicians (PCP), the authors conducted pre-post evaluations of the use of obesity related care processes by 18 primary care practices following participation in a 9-month LC based on the Model for Improvement. Prior to the LC, chart audits revealed that 55% of patients had a BMI recorded; this rose to 97% of patients at its conclusion. Following the LC, 11 practices had implemented systematic prevention advice to parents of infants compared with 3 prior to the LC. All practices developed plans for evaluation and management of children with an elevated BMI. Participation in an LC increased the number of primary care practices that provided anticipatory guidance regarding obesity prevention and that identified and treated overweight or obese children.
为了确定参与学习协作组（LC）是否会改善初级保健医生（PCP）对儿童肥胖症的预防、早期识别和治疗的护理流程，作者基于改进模型，对18个初级保健机构参与为期9个月的LC后肥胖相关护理流程的使用情况进行了前后评估。在LC之前，病历审核显示55%的患者记录了BMI；在LC结束时，这一比例上升到了97%。在LC之后，11个机构对婴儿家长实施了系统的预防建议，而在LC之前只有3个机构这样做。所有机构都制定了评估和管理BMI升高儿童的计划。参与LC增加了提供肥胖预防预期指导以及识别和治疗超重或肥胖儿童的初级保健机构的数量。
