利用卫生政策解决方案解决美国农村地区肥胖问题。

IF 4.3 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of General Internal Medicine Pub Date : 2024-11-18 DOI:10.1007/s11606-024-09207-6
Perisa Ashar, Faraan O Rahim, Huda Haque, Humna Anzaar, Urvish Jain, Shivam Singh, Sandeep Palakodeti
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引用次数: 0

摘要

美国农村面临着令人担忧的肥胖危机,由于社会经济差异、医疗保健服务有限以及食物荒漠和医疗保健基础设施不足等结构性挑战,农村居民的肥胖率明显较高。本观点针对这些紧迫问题,提出了有针对性的循证干预措施,以减少农村社区的肥胖现象。我们的建议包括:(1)通过 "农村医疗学者计划"、"农村社区贷款偿还计划 "和 "康拉德 30 豁免计划 "等举措,增加农村地区多学科医疗保健专业人员的数量;(2)通过 H.R. 1577(《治疗和减少肥胖症计划》)扩大基本肥胖症服务的覆盖范围。1577 号法案,即《治疗和减少肥胖症法案》,以减轻治疗的经济障碍,包括强化行为疗法和药物疗法;以及 (3) 充分利用社区计划,包括全国农村肥胖症和慢性病计划、疾病预防控制中心的肥胖症高发计划以及三角洲身体和灵魂计划,通过地方合作、教育和基础设施改善健康食品的获取,并促进体育锻炼。通过实施这些综合战略,我们的目标是使肥胖症治疗和健康生活方式的选择更容易获得,最终降低肥胖率,改善健康状况,提高美国农村居民的整体生活质量。
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Leveraging Health Policy Solutions to Address Obesity in Rural America.

Rural America faces an alarming obesity crisis, with residents experiencing significantly higher rates of obesity due to socioeconomic disparities, limited access to healthcare, and structural challenges such as food deserts and insufficient healthcare infrastructure. This perspective addresses these pressing issues by proposing targeted, evidence-based interventions to reduce obesity in rural communities. Our recommendations include (1) increasing the number of multidisciplinary healthcare professionals in rural areas through initiatives such as the Rural Medical Scholars Program, the Rural Community Loan Repayment Program, and the Conrad 30 Waiver Program; (2) expanding coverage for essential obesity services via H.R. 1577, the Treat and Reduce Obesity Act, to alleviate financial barriers to treatment, including intensive behavioral therapy and pharmacotherapy; and (3) leveraging community-based programs, including the National Rural Obesity and Chronic Disease Initiative, the CDC's High Obesity Program, and the Delta Body and Soul initiative, to improve access to healthy foods and promote physical activity through local collaborations, education, and infrastructure enhancements. By implementing these comprehensive strategies, we aim to make obesity treatments and healthy lifestyle choices more accessible, ultimately reducing obesity rates, improving health outcomes, and enhancing the overall quality of life for rural residents across the USA.

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来源期刊
Journal of General Internal Medicine
Journal of General Internal Medicine 医学-医学:内科
CiteScore
7.70
自引率
5.30%
发文量
749
审稿时长
3-6 weeks
期刊介绍: The Journal of General Internal Medicine is the official journal of the Society of General Internal Medicine. It promotes improved patient care, research, and education in primary care, general internal medicine, and hospital medicine. Its articles focus on topics such as clinical medicine, epidemiology, prevention, health care delivery, curriculum development, and numerous other non-traditional themes, in addition to classic clinical research on problems in internal medicine.
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