Kandula Namratha R, Moran Margaret R, Tang Joyce W, O'Brien Matthew J
Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL.
Center for Community Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Clin Diabetes. 2018 Jan;36(1):59-66. doi: 10.2337/cd17-0049.
Offering patient-centered care to prevent diabetes will require collaborative decision-making between patients with prediabetes and their health care providers. From the perspective of primary care providers, prediabetes detection should be targeted to patients who are most likely to benefit from diagnosis and treatment. Improving access to lifestyle intervention programs and educating providers about evidence-based treatments for prediabetes and how to effectively discuss treatment options with patients may improve both providers' and patients' engagement in diabetes prevention.
提供以患者为中心的糖尿病预防护理需要糖尿病前期患者与其医疗服务提供者之间进行共同决策。从初级保健提供者的角度来看,糖尿病前期检测应针对最有可能从诊断和治疗中受益的患者。改善获得生活方式干预项目的机会,并让提供者了解糖尿病前期的循证治疗以及如何与患者有效讨论治疗方案,可能会提高提供者和患者参与糖尿病预防的积极性。