综合社区医疗保健糖尿病干预措施以减少差异。
Integrated community-healthcare diabetes interventions to reduce disparities.
机构信息
University of Chicago, Section of General Internal Medicine, 5841 South Maryland Avenue, MC 2007, Chicago, IL, 60637, USA,
出版信息
Curr Diab Rep. 2014 Mar;14(3):467. doi: 10.1007/s11892-013-0467-8.
Racial and ethnic minorities suffer disproportionately from diabetes-related morbidity and mortality. With the creation of Accountable Care Organizations (ACOs) under the Affordable Care Act, healthcare organizations may have an increased motivation to implement interventions that collaborate with community resources and organizations. As a result, there will be an increasing need for evidence-based strategies that integrate healthcare and community components to reduce diabetes disparities. This paper summarizes the types of community/health system partnerships that have been implemented over the past several years to improve minority health and reduce disparities among racial/ethnic minorities and describes the components that are most commonly integrated. In addition, we provide our recommendations for creating stronger healthcare and community partnerships through enhanced community support.
少数民族和种族群体在与糖尿病相关的发病率和死亡率方面受到不成比例的影响。随着平价医疗法案下问责制医疗组织的创建,医疗机构可能会有更大的动力来实施与社区资源和组织合作的干预措施。因此,需要制定更多基于证据的策略,将医疗保健和社区部分结合起来,以减少糖尿病方面的差距。本文总结了过去几年中实施的改善少数群体健康和减少种族/族裔少数群体之间差异的社区/卫生系统伙伴关系的类型,并描述了最常整合的部分。此外,我们还通过加强社区支持,为建立更强大的医疗保健和社区伙伴关系提供了建议。