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在任何医疗保障体系中，提高营养疗法的策略都至关重要。对营养不良患者的识别和治疗可以改善其临床预后并缩短住院时间和减少相关花费。特别是，在巴西调整营养疗法应用和肠内营养治疗费用报销的联邦政策是两项刺激营养疗法发展的有力措施。基础和临床研究同样有助于营养疗法的更好实施，因此应强调营养疗法团队，质量指导者以及给予高质量营养疗法营养教育的必要性。显然在临床营养方面进行培训和继续教育项目是改善营养意识和护理，以及患者预后的关键。基于我们的经验，我们将巴西营养模式推荐为改善营养疗法的策略，可以做出适当和必要的调整以适应不同的环境。 JPEN J Parenter Enteral Nutr. 2016;40(1):73-82. 2015 Rhoads Lecture Strategies for High-Quality Nutrition Therapy in Brazil. Waitzberg DL, Correia MI. University of São Paulo Medical School, São Paulo, Brazil; Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. Strategies for improving nutrition therapy (NT) are of utmost importance in any healthcare system. The identification and treatment of malnourished patients improves clinical outcome and reduces the length of hospital length of stay and the associated costs. In particular, federal policy regulating the use of NT in Brazil and reimbursement of enteral nutrition (EN) treatment were 2 powerful mechanisms that stimulated the development of nutrition care. Basic and clinical research have also contributed to best practices in NT, thereby highlighting the need for nutrition therapy teams, quality indicators, and nutrition education for the delivery of high-quality NT. It is clear that the availability of training and continuing education programs in clinical nutrition is key to improving nutrition awareness and care, as well as patient outcome. On the basis of our experience, we recommend the Brazilian model as a strategy for improving nutrition care, with appropriate and necessary adaptations made to accommodate different settings. KEYWORDS: Brazil; education; enteral; hospital; malnutrition; nutrition; parenteral; quality; therapy PMID: 26272947 DOI: 10.1177/0148607115596159 |
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