Health outcomes reported by healthcare providers and clients of a community-based medically tailored meal program.

IF 1.9 Q3 NUTRITION & DIETETICS
Jessica M Sautter, Jule Anne Henstenburg, Adrian Glass Crafford, Ian Rowe-Nicholls, Victor S Diaz, Kaitlyn Ann Bartholomew, Julia S Evans, Maria R Johnson, Jeffrey Zhou, Deeksha Ajeya
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引用次数: 0

Abstract

Background: Medically tailored meal (MTM) programs provide home-delivered meals to people living with serious illness and poor nutritional status. Client outcome studies have found evidence of decreased healthcare utilization and cost savings associated with MTM program participation, and inconclusive evidence of change in health measures. The purpose of this study was to use a novel observational framework to describe the client profile and change in health outcomes using routinely collected health and program data from a community-based MTM program at MANNA (Philadelphia, PA).

Methods: Clients reported their self-rated health and experiences of food insecurity and malnutrition. Healthcare providers reported clients' body mass index, systolic blood pressure, and hemoglobin A1C. These health outcomes, measured at program intake and 3-6 months later, were linked with administrative data for 1,959 clients who completed at least two months of MTM services in 2020, 2021, and 2022.

Results: Clients exhibited substantial heterogeneity in demographics and health status at intake. Self-reported malnutrition risk decreased significantly over program duration (p < .001). Nearly one-third of clients with poor health reported improvement over time. Over 60% of clients with obesity experienced stable BMI. Clients with hypertension experienced significant improvements in systolic blood pressure (p < .001). Clients with diabetes and available data (n = 45) demonstrated significant reduction in hemoglobin A1C (p = .005).

Conclusion: We found evidence that participation in MANNA's MTM program was associated with favorable health outcomes for clients with serious illness and nutritional risk. Community-based organizations can maximize the completeness of their data by focusing on routinely collected internal data like validated health screeners and surveys.

医疗服务提供者和社区医疗定制膳食计划客户报告的健康成果。
背景:医疗定制膳食(MTM)计划为身患重病且营养状况较差的患者提供送餐上门服务。客户结果研究发现,有证据表明,参与 MTM 计划可减少医疗保健使用并节约成本,但关于健康指标变化的证据尚不确定。本研究的目的是使用一个新颖的观察框架,利用 MANNA(宾夕法尼亚州费城)社区 MTM 项目定期收集的健康和项目数据,描述客户概况和健康结果的变化:方法:服务对象报告其自我评定的健康状况以及粮食不安全和营养不良的经历。医疗服务提供者报告客户的体重指数、收缩压和血红蛋白 A1C。2020 年、2021 年和 2022 年完成至少两个月 MTM 服务的 1,959 名客户的管理数据与在项目接受时和 3-6 个月后测量的这些健康结果相关联:结果:接受服务的客户在人口统计学和健康状况方面表现出很大的异质性。自我报告的营养不良风险在项目持续时间内显著降低(p 结论:我们发现有证据表明,参与 MANNA 项目可降低营养不良风险:我们发现有证据表明,参与 MANNA 的 MTM 计划与患有严重疾病和存在营养风险的客户获得良好的健康结果有关。社区组织可以通过关注常规收集的内部数据(如有效的健康筛查和调查),最大限度地提高数据的完整性。
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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来源期刊
BMC Nutrition
BMC Nutrition Medicine-Public Health, Environmental and Occupational Health
CiteScore
2.80
自引率
0.00%
发文量
131
审稿时长
15 weeks
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