An Integrated Behavioral Health to Non-communicable Disease in Cambodia

Ronald R. O'Donnell, Jennifer Rolfes, C. Houston, Pristine Mei, Koy Virya, Kim Savuon, J. Costello, S. Carroll, Hoang D. Nguyen, Shiyou Wu
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引用次数: 2

Abstract

Noncommunicable diseases (NCD’s) such as type 2 diabetes and hypertension are increasing in Cambodia. Clinicians in Cambodia do not routinely offer behavioral interventions to address the lifestyle behaviors such as poor nutrition, lack of physical activity and tobacco smoking that contribute to poor outcomes for NCD’s. Behavioral conditions such as depression and substance use disorder that are frequently comorbid with NCD’s also contribute to poor clinical outcomes are also not routinely addressed in medical settings in Cambodia. Integrated healthcare is the systematic, team-based approach to delivering behavioral interventions to address lifestyle and behavioral conditions that underlie poor outcomes for NCD’s delivered by a Behavioral Health Consultant (BHC). Research on type 2 diabetes and hypertension risk factors such as nutrition, physical activity, tobacco smoking and alcohol misuse demonstrates the need for a new workforce of BHC’s to improve quality and outcomes. A model of integrated behavioral health designed by this research team uses a Health Risk Assessment, a social worker or community health worker in the BHC role, and smartphone app platform for patient health self-management is recommended.
柬埔寨针对非传染性疾病的综合行为健康
2型糖尿病和高血压等非传染性疾病在柬埔寨正在增加。柬埔寨的临床医生不经常提供行为干预措施,以解决导致非传染性疾病不良后果的生活方式行为,如营养不良、缺乏体育活动和吸烟。通常与非传染性疾病共病的行为状况,如抑郁症和药物使用障碍,也导致临床结果不佳,柬埔寨的医疗机构也没有常规处理这些问题。综合医疗保健是一种系统的、以团队为基础的方法,提供行为干预措施,以解决由行为健康顾问(BHC)提供的导致非传染性疾病不良后果的生活方式和行为状况。对营养、体育活动、吸烟和酗酒等2型糖尿病和高血压风险因素的研究表明,需要一支新的BHC员工队伍来提高质量和结果。本研究小组设计的综合行为健康模型采用健康风险评估,由社会工作者或社区卫生工作者担任BHC角色,并推荐智能手机应用平台进行患者健康自我管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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