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首页> 外文期刊>Journal of pediatric nursing >Intersecting Health Policy and the Social Determinants of Health in Pediatric Type 1 Diabetes Management and Care
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Intersecting Health Policy and the Social Determinants of Health in Pediatric Type 1 Diabetes Management and Care

机译：与健康政策和儿科1型糖尿病管理和护理健康的社会决定因素

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Abstract Theoretical Principles Type 1 diabetes health technologies are evolving. This is an expensive chronic condition to manage, hence a combination of public and private healthcare funding sources, as well as out-of-pocket payments support disease management. The aim of this paper is to describe two conceptual underpinnings, which can appropriately position the health policy and clinical context of pediatric type 1 diabetes management and care. Phenomena Addressed “The Main Determinants of Health” framework is used to position pediatric T1D management and care within the model's four interconnected layers: the structural environment, social and material conditions, support systems and individual health behaviors. A health policy in Ontario, Canada, the Assistive Devices Program for insulin pump therapy is also discussed relative to the model's outermost layer: the structural environment. Four dimensions of control, which characterize the “street-level bureaucrat” role including “distributing benefits and sanctions; structuring the context; teaching the client role; and, psychological benefits and sanctions” then position the policy context of the diabetes nurse educator role relative to the Assistive Devices Program policy. Research Linkages These conceptual underpinnings could extend beyond the pediatric T1D landscape to position global research in other nursing practice areas, as well as with other patient populations and professional disciplines such as social work and medicine. Highlights ? High prescription drug costs are concerning in Canada and the United States. ? Insulin pump and CGM funding varies in Canada, the United States and Europe. ? The social determinants of health apply to the pediatric T1 diabetes landscape. ? four dimensions of control apply to diabetes nurse educators.
机译：摘要抽象1型糖尿病健康技术正在发展。这是一个昂贵的慢性条件来管理，因此是公共和私人医疗保健资金来源的组合，以及支持疾病管理。本文的目的是描述两种概念性内限，可以适当地定位儿科1型糖尿病管理和护理的健康政策和临床背景。涉及“健康的主要决定因素”框架的现象用于在模型的四个互连层内定位儿科T1D管理和护理：结构环境，社会和物质条件，支持系统和个人健康行为。加拿大安大略省的健康政策也是相对于模型的最外层的胰岛素泵治疗辅助装置计划：结构环境。控制的四个维度，其表征了“街道级官僚”角色，包括“分销福利和制裁;构建上下文;教导客户角色;而且，心理福利和制裁“然后将糖尿病护士教育者角色的政策背景放在辅助设备方案政策中。研究联系这些概念内限可以延伸到儿科T1D景观，以定位其他护理实践领域的全球研究，以及其他患者人口和社会工作和医学等专业学科。强调 ？高处方药成本在加拿大和美国有关。还胰岛素泵和CGM资金在加拿大，美国和欧洲各不相同。还健康的社会决定因素适用于儿科T1糖尿病景观。还四维控制维度适用于糖尿病护士教育者。

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