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首页> 外文期刊>Military Medicine: Official Journal of AMSUS, The Society of the Federal Health Agencies >Are Navy Weight Management Programs Ensuring Sailor Physical Readiness? An Analysis at Naval Medical Center San Diego
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Are Navy Weight Management Programs Ensuring Sailor Physical Readiness? An Analysis at Naval Medical Center San Diego

机译：海军体重管理程序是否确保水手的物理准备？ 圣地亚哥海军医疗中心分析

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Introduction: The obesity epidemic in the USA includes active duty service members in the military and effects physical readiness. At the Naval Medical Center San Diego command, the Health & Wellness Department is charged with administering the Weight Management Programs (WMP) for sailors in the San Diego area to ensure military physical readiness requirements. The optimal allocation of personnel and resources to manage these programs is paramount for mission success. We analyzed the cost and effectiveness of the WMPs for the active duty population stationed at Naval Medical Center San Diego (NMCSD) with the intent of offering potential recommendations for program optimization. Methods: As an approved quality improvement program, the cost and effectiveness of the WMP, namely Fitness Enhancement Program (FEP) and ShipShape (SS), for the active duty population stationed at NMCSD were analyzed from 2013 to 2014 by utilizing various official sources. Data analysis included reviewing historical data for trends and developing a budgetary analysis to include Direct Labor Hour rates and opportunity costs. Interviews were conducted with key staff and participants in the WMPs to determine essential aspects and potential beneficial changes to the programs. Overall results were evaluated to identify potential opportunities for program expansion and improvement. Results: Data analysis revealed that the FEP is producing a 78% success rate, with approximately 30% of the enrolled personnel actively participating. Concurrently, the SS program at NMCSD is producing a 71% success rate with 90% course completion rate. This success rate is significantly higher than the national SS average of 34%. Furthermore, our cost analysis revealed that the SS program a significantly higher return on investment. Interviews conducted of key staff and participants yielded several commonalities regarding key factors involved with WMPs success or needed improvements. Conclusions: To improve the WMPs at NMCSD, the findings in this report support the following recommendations: (1) maximize the SS program, (2) increase utilization of FEP, and (3) increase the participation and training of Assistant Command Fitness Leaders. WMPs navy-wide may benefit from incorporating similar program improvements to increase physical readiness of service members and, therefore, support command mission success.
机译：介绍：美国的肥胖疫情包括军队中的现役服务成员，并影响身体准备。在圣地亚哥的海军医疗中心，健康和健康部门被指控为圣地亚哥地区的水手管理重量管理计划（WMP），以确保军事的物理准备要求。人员和资源的最佳分配来管理这些计划至关重要的是使命成功。我们分析了WMPS为驻扎在海军医疗中心圣地亚哥（NMCSD）的现役人口的成本和有效性，目的是为方案优化提供潜在的建议。方法：作为批准的质量改进计划，WMP的成本和有效性，即健身增强计划（FEP）和Shipshape，驻NMCSD的现役人口，通过利用各种官方来源分析了NMCSD。数据分析包括审查趋势的历史数据，并制定预算分析，以包括直接劳动时间和机会成本。采访是在WMPS中的关键员工和参与者进行了面试，以确定对方案的基本方面和潜在的有益变更。评估了总体结果，以确定计划扩张和改进的潜在机会。结果：数据分析表明，FEP生产成功率为78％，大约30％的入学人员积极参与。同时，NMCSD的SS程序正在产生71％的成功率，90％的课程完成率。这种成功率明显高于国家SS平均值34％。此外，我们的成本分析透露，SS计划的投资回报率明显提高。关键员工和参与者进行的访谈产生了有关涉及WMPS成功或必要的改进的关键因素的若干常见性。结论：为了改善NMCSD的WMPS，本报告中的调查结果支持以下建议：（1）最大限度地提高SS计划，（2）增加FEP的利用率，并增加助理命令健身领导者的参与和培训。 WMPS Navy-宽可能受益于纳入类似的计划改进，以提高服务成员的物理准备，因此支持命令命令取得成功。

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