改善糖尿病患者护理服务提供与质量方法的最新进展
Update on Approaches to Improve Delivery and Quality of Care for People with Diabetes.
作者信息
Heisler Michele, Simmons David, Piatt Gretchen A
机构信息
Department of Internal Medicine, University of Michigan Medical School; Veterans Affairs Center for Clinical Management Research, VA Ann Arbor Healthcare System; Department of Health Behavior and Health Education, School of Public Health, University of Michigan.
School of Medicine, Western Sydney University, Sydney, Australia; Macarthur Clinical School, Campbelltown Hospital, Therry Road, Campbelltown, New South Wales 2560, Australia.
出版信息
Endocrinol Metab Clin North Am. 2021 Sep;50(3S):e1-e20. doi: 10.1016/j.ecl.2021.07.010. Epub 2021 Sep 29.
To translate improvements in diabetes management into improved outcomes, it is essential to improve care delivery. To help guide clinicians and health organizations in their efforts to achieve these improvements, this article briefly describes key components underpinning effective diabetes care and six categories of innovations in approaches to improve diabetes care delivery: (1) team-based clinical care; (2) cross-specialty collaboration/integration; (3) virtual clinical care/telehealth; (4) use of community health workers (CHWs) and trained peers to provide pro-active self-management support; (5) incorporating screening for and addressing social determinants of health into clinical practice; and (6) cross-sectoral clinic/community partnerships.
为了将糖尿病管理方面的改善转化为更好的治疗效果，改善医疗服务的提供至关重要。为了帮助指导临床医生和卫生组织努力实现这些改善，本文简要描述了有效糖尿病护理的关键组成部分以及改善糖尿病护理服务提供方式的六类创新：（1）基于团队的临床护理；（2）跨专业协作/整合；（3）虚拟临床护理/远程医疗；（4）利用社区卫生工作者（CHW）和经过培训的同伴提供积极的自我管理支持；（5）将健康的社会决定因素筛查和解决纳入临床实践；以及（6）跨部门诊所/社区伙伴关系。
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