研究糖尿病组医疗就诊剂量及未参保者的特征。
Examining Dose of Diabetes Group Medical Visits and Characteristics of the Uninsured.
作者信息
Mallow Jennifer A, Theeke Laurie A, Barnes Emily R, Whetsel Tara
机构信息
West Virginia University, Morgantown, USA
West Virginia University, Morgantown, USA.
出版信息
West J Nurs Res. 2015 Aug;37(8):1033-61. doi: 10.1177/0193945914529190. Epub 2014 Apr 6.
Type 2 diabetes is a significant problem for the uninsured. Diabetes Group Medical Visits (DGMVs) have been reported to improve outcomes. However, it is not known if the increased workload of the health care team to treat and educate patients at multiple visits has an impact on patient functioning and well-being. The aim of this study was to explore the impact of dose of DGMVs on biophysical outcomes of care in uninsured persons with diabetes. No significant correlations were found between number of DGMVs attended and biophysical outcomes of care. However, the majority of patients attended two or less DGMVs in 1 year. Dose of DGMVs did not impact outcomes and may not be enough to assure attendance. Involving patients to construct patient-centered interventions may decrease the treatment burden faced by both patients and providers. In addition, such interventions should be aimed at understanding reasons for low attendance, particularly in rural impoverished adults.
2型糖尿病对于未参保者来说是一个重大问题。据报道，糖尿病小组医疗就诊（DGMVs）可改善治疗效果。然而，尚不清楚医疗团队在多次就诊时治疗和教育患者所增加的工作量是否会对患者的功能和幸福感产生影响。本研究的目的是探讨DGMVs的就诊次数对未参保糖尿病患者护理的生物物理结果的影响。就诊的DGMVs次数与护理的生物物理结果之间未发现显著相关性。然而，大多数患者在1年内就诊的DGMVs次数为两次或更少。DGMVs的就诊次数并未影响治疗效果，可能也不足以确保患者就诊。让患者参与构建以患者为中心的干预措施可能会减轻患者和提供者面临的治疗负担。此外，此类干预措施应旨在了解就诊率低的原因，尤其是农村贫困成年人的就诊率低的原因。
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