优质营养不良护理改善美国老年人农村健康结果和健康公平的机会

Suzanne Fleming, M. Arensberg, K. Kerr, R. Blancato
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摘要

随着年龄的增长,老年人营养不良的风险会增加。许多因素会增加他们营养不良的风险,包括与疾病、功能、社会和心理健康以及饥饿和粮食不安全有关的因素。营养不良的风险也与差距有关,并可能对生活在农村地区的人们产生不成比例的影响。这份透视文件概述了营养不良问题及其对健康结果和健康差距的影响,并总结了农村医疗机构营养不良的现有证据。此外,它还描述了改善营养不良质量的机会,以及一种新的营养不良质量指标,即全球营养不良综合评分指标,该指标最近被国家质量论坛推荐为农村医疗保健的健康公平指标。《观点》还提出了这项措施如何有助于满足联合委员会新的健康公平要求,并有助于解决非营利医院社区健康需求评估中确定的需求。《透视》确定了改善营养不良质量和综合措施的资源,并分享了麦克弗森医院的主要经验教训,该医院是一家致力于改善营养不良护理质量的农村机构。最后,该观点为农村医疗机构提供了更好地与社区营养计划/服务联系的机会,并建议在哪些地方仍需要更多的计划制定和政策支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Opportunity for Quality Malnutrition Care to Improve Rural Health Outcomes and Health Equity for Older Americans
Older adults have a heightened risk of malnutrition that occurs with age. Many factors can increase their risk for malnutrition, including factors associated with disease, function, social and mental health, and hunger and food insecurity. Risk for malnutrition is also linked to disparities and may disproportionately impact people living in rural areas. This Perspective paper outlines the issue of malnutrition and its impact on health outcomes and health disparities as well as summarizes existing evidence on malnutrition in rural healthcare institutions. Further it describes opportunities for malnutrition quality improvement and a new malnutrition quality measure, the Global Malnutrition Composite Score measure, that has recently been recommended by the National Quality Forum as a health equity measure for rural healthcare. The Perspective also suggests how this measure may help meet new health equity requirements of the Joint Commission and may help address needs identified in non-profit hospital community health needs assessments. The Perspective identifies resources for malnutrition quality improvement and the Composite measure, and shares key learnings from McPherson Hospital, a rural institution that has worked to improve malnutrition quality care. Finally, the Perspective suggests opportunities for rural healthcare institutions to better connect with community-based nutrition programs/services and recommends where more program development and policy support is still needed.
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