在服务不足人群中解决体重和血压问题的团体医疗访问。

Amit Algotar, Stephanie Trofymenko, Myra Muramoto, Amy Howerter, Randa Kutob
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引用次数: 0

摘要

在一个主要服务不足人群的大型初级保健实践中,对团体医疗访问(GMV)与个人医疗访问(IMV)对体重和血压的影响进行了评估。采用混合效应回归模型对304名参加减肥计划的患者的记录进行分析。GMV组患者平均减重11.63磅,而IMV组患者平均减重3.99磅(p < 0.001)。55%的患者GMV下降≥7%,而IMV下降11% (p≤0.001)。减重超过基线体重5%的人总体血压下降幅度更大。对于收缩压和舒张压,基线和三个月GMV和IMV的差异分别为- 7.4 vs. 4.1 mm Hg (p = 0.002)和- 4.6 vs. 4.2 mm Hg (p = 0.003)。这项研究的结果表明,GMV可能是一种潜在的有用的方式来解决缺乏服务的人群的体重和血压。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Group Medical Visits for Addressing Weight and Blood Pressure in an Underserved Population.

Group Medical Visits for Addressing Weight and Blood Pressure in an Underserved Population.

Group Medical Visits for Addressing Weight and Blood Pressure in an Underserved Population.

Group Medical Visits for Addressing Weight and Blood Pressure in an Underserved Population.

The effect of group medical visits (GMV) compared to individual medical visits (IMV), on weight and blood pressure in a large primary care practice serving a predominantly underserved population, was assessed. The records of 304 patients attending a weight-loss program were analyzed using mixed-effects regression models. Patients in GMV lost an average of 11.63 lbs, whereas patients in IMV lost an average of 3.99 lbs (p < 0.001). A total of 55% of patients lost ≥7% in GMV compared to 11% of patients in IMV (p ≤ 0.001). Individuals who lost >5% of their baseline weight had a higher reduction in overall blood pressure. For systolic and diastolic blood pressure, the differences between baseline and three months for GMV and IMV were −7.4 vs. 4.1 mm of Hg (p = 0.002) and −4.6 vs. 4.2 mm of Hg (p = 0.003), respectively. Results from this study demonstrate that GMV may be a potentially useful modality for addressing weight and blood pressure in an underserved population.

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