Wilkes Abigail E, John Priya M, Vable Anusha M, Campbell Amanda, Heuer Loretta, Schaefer Cynthia, Vinci Lisa, Drum Melinda L, Chin Marshall H, Quinn Michael T, Burnet Deborah L
Department of Medicine, University of Chicago, 5841 S. Maryland Ave., Chicago, IL 60637, USA.
J Health Care Poor Underserved. 2013;24(2 Suppl):47-60. doi: 10.1353/hpu.2013.0101.
Community health centers (CHCs) seek effective strategies to address obesity. MidWest Clinicians' Network partnered with [an academic medical center] to test feasibility of a weight management quality improvement (QI) collaborative. MidWest Clinicians' Network members expressed interest in an obesity QI program. This pilot study aimed to determine whether the QI model can be feasibly implemented with limited resources at CHCs to improve weight management programs. Five health centers with weight management programs enrolled with CHC staff as primary study participants; this study did not attempt to measure patient outcomes. Participants attended learning sessions and monthly conference calls to build QI skills and share best practices. Tailored coaching addressed local needs. Topics rated most valuable were patient recruitment/retention strategies, QI techniques, evidence-based weight management, motivational interviewing. Challenges included garnering provider support, high staff turnover, and difficulty tracking patient-level data. This paper reports practical lessons about implementing a weight management QI collaborative in CHCs.
社区卫生中心（CHC）寻求有效的策略来应对肥胖问题。中西部临床医生网络与[一家学术医疗中心]合作，测试体重管理质量改进（QI）协作的可行性。中西部临床医生网络的成员对肥胖QI项目表示出兴趣。这项试点研究旨在确定QI模式是否可以在社区卫生中心有限的资源条件下切实可行地实施，以改善体重管理项目。五个设有体重管理项目的卫生中心招募了社区卫生中心工作人员作为主要研究参与者；本研究未尝试衡量患者的治疗效果。参与者参加学习课程和月度电话会议，以培养QI技能并分享最佳实践。量身定制的指导满足了当地需求。被评为最有价值的主题包括患者招募/保留策略、QI技术、循证体重管理、动机性访谈。挑战包括获得提供者的支持、员工高流动率以及难以跟踪患者层面的数据。本文报告了在社区卫生中心实施体重管理QI协作的实践经验。
