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实施“食物即药物”计划以解决学术医疗中心的食物不安全问题。

Implementing a Food is Medicine Program to Address Food Insecurity in an Academic Medical Center.

机构信息

Loyola Medicine, Loyola University Medical Center, Maywood, Illinois (Dr Wynn); College of Nursing and Center for Clinical Research and Scholarship, Rush University Medical Center, Chicago, Illinois (Dr Staffileno); Loyola Medicine, MacNeal Hospital, Berwyn, Illinois (Dr Grenier); and Nursing Research and Health Equity, Rush University Medical Center, Chicago, Illinois (Dr Phillips).

出版信息

J Nurs Care Qual. 2021;36(3):262-268. doi: 10.1097/NCQ.0000000000000496.

DOI:10.1097/NCQ.0000000000000496
PMID:32568962
Abstract

BACKGROUND

Food insecurity is a public, social, and health concern.

LOCAL PROBLEM

A Food is Medicine Program was developed to address food insecurity.

METHODS

A quality improvement initiative was piloted on 3 acute care units.

INTERVENTIONS

Patients were screened for Social Determinant of Health (SDoH) needs and if identified as food insecure, linked to community resources and provided with a bag of food on discharge. Education was offered to nursing staff and a pre- and postsurvey was administered to assess SDoH knowledge and confidence.

RESULTS

Over a 3-month period, 2354 patients were admitted; 2063 (88%) were screened for SDoH and 220 (10%) were positive for food insecurity. Patients (n = 1525, 74%) were linked to community resources. Nearly all (97%) nurses participated in education and demonstrated increased knowledge and confidence (P < .001).

CONCLUSIONS

These data provide preliminary outcomes from the Food is Medicine Program.

摘要

背景

食品不安全是一个公共、社会和健康问题。

当地问题

开发了一项“食物即药物”计划以解决食品不安全问题。

方法

在 3 个急症护理病房试行一项质量改进倡议。

干预措施

对社会决定因素健康(SDoH)需求进行筛查,如果确定为食品不安全,则与社区资源联系,并在出院时提供一袋食品。向护理人员提供教育,并进行了前后调查,以评估 SDoH 知识和信心。

结果

在 3 个月的时间里,有 2354 名患者入院;对 2063 名(88%)患者进行了 SDoH 筛查,有 220 名(10%)患者存在食品不安全问题。为 1525 名患者(74%)提供了与社区资源的联系。几乎所有(97%)护士都参加了教育,并表现出了知识和信心的提高(P <.001)。

结论

这些数据提供了“食物即药物”计划的初步结果。

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