Samuel Merritt University, Sacramento, CA.
Samuel Merritt University, Sacramento, CA
J Dr Nurs Pract. 2021 Nov 1;14(3):204-212. doi: 10.1891/JDNP-D-20-00066.
The Center for Disease Control and Prevention (CDC) reported 26.9 million individuals a diabetes diagnosis rate of 9.4% in the United States had diabetes in 2018, equivalent to 8.2% of the population (CDC, 2020). Key government organizations have developed clinical quality indicators (CQIs) to ensure patients receive adequate care. The CQIs for comprehensive diabetes care are complex and often indicate a gap-in-care among vulnerable populations.
To evaluate if the availability of point-of-care (POC) hemoglobin A1c (HbA1c) testing in a mobile clinic increases CQIs adherence in vulnerable populations.
This evidence-based clinical practice change project (EBCPCP) focused on improving diabetic CQIs in vulnerable populations by implementing POC HbA1c testing on a federally qualified health centers (FQHC) mobile clinic.
The results, 125 individuals having received HbA1c results, indicate having POC HgbA1c testing available on the mobile unit increased HbA1c testing. No patients had an HbA1c lab completed prior to the availability of POC testing.
The availability of POC testing on a mobile clinic increases access to HbA1c for vulnerable populations which improves practice outcomes and increased CQI adherence.
The results of this EBCPCP indicate POC testing increases access to diagnostics and care.
疾病控制与预防中心（CDC）报告称，2018 年美国有 2690 万人被诊断患有糖尿病，糖尿病诊断率为 9.4%，相当于 8.2%的人口患有糖尿病（CDC，2020 年）。主要政府组织已经制定了临床质量指标（CQIs），以确保患者得到充分的护理。综合糖尿病护理的 CQIs 很复杂，往往表明弱势群体存在护理差距。
评估移动诊所中即时检测（POC）糖化血红蛋白（HbA1c）检测的可用性是否增加弱势群体的 CQI 依从性。
本循证临床实践变更项目（EBCPCP）专注于通过在联邦合格健康中心（FQHC）移动诊所中实施 POC HbA1c 检测来改善弱势群体的糖尿病 CQI。
结果显示，有 125 人接受了 HbA1c 检测结果，表明在移动单元上进行 POC HgbA1c 检测可增加 HbA1c 检测。在进行 POC 检测之前，没有患者完成 HbA1c 实验室检测。
移动诊所中即时检测的可用性增加了弱势群体获得 HbA1c 检测的机会，从而改善了实践结果并提高了 CQI 的依从性。
本 EBCPCP 的结果表明，POC 检测增加了对诊断和护理的获取。
