针对心血管疾病及相关可改变风险因素的行为健康顾问在军队医疗保健受益人中的普及率。

IF 1.2 4区 医学 Q3 FAMILY STUDIES
Kevin M Wilfong, Christopher L Hunter, Phillip C Kroke, Justin C Curry, Jeffrey L Goodie
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引用次数: 0

摘要

导言:针对心血管疾病(CVD)及其相关风险因素不仅对普通人群很重要,对军队医疗保健系统服务的人群也很重要。将行为健康顾问(BHCs)纳入初级医疗机构的初级医疗行为健康模式是加强解决这些可改变的风险因素的方法之一;然而,BHCs 多久被用于针对那些具有导致心血管疾病的生物心理社会因素的人和那些已确诊心血管疾病的人,目前还不得而知:本研究评估了具有已确诊心血管疾病危险因素(即吸烟、肥胖和抑郁)或已确诊心血管疾病的初级保健患者转诊到 BHC 的比例。数据来自美国军队初级保健诊所在2017年1月至2019年12月3年期间的电子健康记录:共纳入 1,321,072 个独特的个体。在样本中,37.1%为现役军人,40.6%已婚,43.8%为女性,30.9%年龄在45至64岁之间。研究显示,被诊断出患有心血管疾病的患者的渗透率为 1.5%(583659 名患者中的 8577 名),显示吸烟的患者的渗透率为 5.3%(192566 名患者中的 10286 名),显示肥胖的患者的渗透率为 3.4%(256852 名患者中的 8765 名),被诊断出患有抑郁症的患者的渗透率为 20.0%(155656 名患者中的 31125 名):讨论:这些研究结果表明,在军队初级保健诊所中,针对心血管疾病和某些相关风险因素的 BHCs 未得到充分利用。研究应探讨这些发现是否会在其他医疗保健系统中重现,并实施提高BHC利用率的方法。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Penetration rates of behavioral health consultants targeting cardiovascular disease and associated modifiable risk factors among military health care beneficiaries.

Introduction: Targeting cardiovascular disease (CVD) and its associated risk factors is important not only in the general population, but also among those served by the military health care system. The primary care behavioral health model of integrating behavioral health consultants (BHCs) into a primary care setting is one method for enhancing how these modifiable risk factors are addressed; however, it is unknown how often BHCs are used to target those with biopsychosocial factors contributing to CVD and those with diagnosed CVD.

Method: The present study evaluated what percentage of primary care patients with diagnosed CVD risk factors (i.e., tobacco use, obesity, and depression) or diagnosed CVD were referred to BHCs. Data were drawn from electronic health records of U.S. military primary care clinics over the 3-year period from January 2017 to December 2019.

Results: A total of 1,321,072 unique individuals were included. Among the sample, 37.1% were active duty, 40.6% were married, 43.8% were female, and 30.9% were between 45 and 64 years old. The study revealed penetration rates of 1.5% (8,577 of 583,659 patients) for patients diagnosed with CVD, 5.3% (10,286 of 192,566 patients) of those demonstrating tobacco use, 3.4% (8,765 of 256,852 patients) of those demonstrating obesity, and 20.0% (31,125 of 155,656 patients) of those diagnosed with depression.

Discussion: These findings suggest that BHCs are underutilized for targeting CVD and some associated risk factors in military primary care clinics. Research should explore whether these findings replicate in other health care systems and implement methods to improve BHC utilization. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
Families Systems & Health
Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍: Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.
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