推进糖尿病健康公平：帮助消除健康障碍的工具。
Advancing Health Equity in Diabetes: Tools to Help Remove Barriers to Health.
机构信息
Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA.
出版信息
J Acad Nutr Diet. 2023 May 4;43(6):12-17.
Abstract
People living with diabetes and their health care teams face an endless number of care decisions that are often compounded by limited access to needed resources, especially adequate food, medications, and monitoring tools. Registered dietitians, as diabetes care and education specialists and as members of care teams, can help assess what barriers exist and how they can best be mitigated both in the short- and long term. Examples of health equity challenges and tools to support efforts in type 2 diabetes (T2D) prevention and diabetes management are presented.
摘要
患有糖尿病的患者及其医疗团队面临着无数的护理决策，而这些决策往往因获取所需资源（尤其是充足的食物、药物和监测工具）受限而变得更加复杂。注册营养师作为糖尿病护理和教育专家以及护理团队的成员，可以帮助评估存在哪些障碍，以及如何在短期和长期内最好地减轻这些障碍。本文介绍了在 2 型糖尿病（T2D）预防和糖尿病管理中支持公平健康挑战和工具的示例。
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本文引用的文献
1
Community Health Workers as Trust Builders and Healers: A Cohort Study in Primary Care.社区卫生工作者作为信任的建立者和治疗者：初级保健中的队列研究。
Ann Fam Med. 2022 Sep-Oct;20(5):438-445. doi: 10.1370/afm.2848.
2
Continuous Glucose Monitoring: An Opportunity for Population-Based Diabetes Management.持续葡萄糖监测：基于人群的糖尿病管理的一个契机。
Popul Health Manag. 2022 Oct;25(5):583-591. doi: 10.1089/pop.2022.0196. Epub 2022 Sep 26.
3
Estimation of the Share of Net Expenditures on Insulin Captured by US Manufacturers, Wholesalers, Pharmacy Benefit Managers, Pharmacies, and Health Plans From 2014 to 2018.2014 年至 2018 年期间，美国制造商、批发商、药品福利经理、药店和健康计划捕获的胰岛素净支出份额估计。
JAMA Health Forum. 2021 Nov 5;2(11):e213409. doi: 10.1001/jamahealthforum.2021.3409. eCollection 2021 Nov.
4
Nonmedical Interventions For Type 2 Diabetes: Evidence, Actionable Strategies, And Policy Opportunities.非医学干预措施用于 2 型糖尿病：证据、可行策略和政策机会。
Health Aff (Millwood). 2022 Jul;41(7):963-970. doi: 10.1377/hlthaff.2022.00236. Epub 2022 Jun 27.
5
Diabetes Screening by Race and Ethnicity in the United States: Equivalent Body Mass Index and Age Thresholds.美国按种族和族裔进行糖尿病筛查：等效体重指数和年龄阈值。
Ann Intern Med. 2022 Jun;175(6):765-773. doi: 10.7326/M20-8079. Epub 2022 May 10.
6
Racial/ethnic and socioeconomic disparities in the use of newer diabetes medications in the Look AHEAD study.“展望”研究中新型糖尿病药物使用方面的种族/族裔及社会经济差异。
Lancet Reg Health Am. 2022 Feb;6. doi: 10.1016/j.lana.2021.100111. Epub 2021 Nov 8.
7
2022 National Standards for Diabetes Self-Management Education and Support.《2022年糖尿病自我管理教育与支持国家标准》
Diabetes Care. 2022 Feb 1;45(2):484-494. doi: 10.2337/dc21-2396.
8
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J Acad Nutr Diet. 2021 Jun;121(6):1175-1178. doi: 10.1016/j.jand.2021.02.030. Epub 2021 Apr 13.
9
Impact of a Dyadic Intervention on Family Supporter Involvement in Helping Adults Manage Type 2 Diabetes.双干预对家庭支持者参与帮助成年人管理 2 型糖尿病的影响。
J Gen Intern Med. 2022 Mar;37(4):761-768. doi: 10.1007/s11606-021-06946-8. Epub 2021 Jul 8.
10
Type 2 Diabetes and the Use of Real-Time Continuous Glucose Monitoring.2 型糖尿病与实时连续血糖监测。
Diabetes Technol Ther. 2021 Mar;23(S1):S27-S34. doi: 10.1089/dia.2021.0007.
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