Diet Assessment Communications Portal for Data Sharing within the PCMN

描述（由申请人提供）：不良的饮食习惯一直困扰着美国，导致肥胖及其相关合并症的发病率上升。由于缺乏培训和初级保健提供者关于营养的知识，以及额外的竞争需求，目前的初级保健系统并不能很好地提供有效的饮食行为改变咨询。在以患者为中心的医疗社区（PCMN）中，食品零售商采用的一种创新方法是使用注册营养师（rd）在食品零售环境中促进健康饮食。然而，这些目前都是独立于初级保健协调的护理而发生的。拟议的项目将开发VioScreen PCMN，这是一个基于技术的界面，以提高从初级保健转介到PCMN rd的患者的饮食摄入评估效率，同时还创建一个门户网站，通过该门户网站，个性化咨询的结果可以通过电子病历报告给初级保健医生。在PCMN模型中采用非医生提供者（如rd）的方法为利用多学科方法进行患者护理和最大化每位临床医生提供的优势提供了宝贵的机会。这些努力可能对那些最需要的人产生更大的影响，并可在初级保健服务的时间框架内得到有效利用，有可能大幅降低肥胖和慢性病的流行率和严重程度。第一阶段将开发VioScreen PCMN的原型，并测试通过在PCMN超市加强教育和改善饮食咨询，通过饮食和行为改变促进初级保健患者预后的可行性，并通过卫生技术将结果直接报告给初级保健。

DESCRIPTION (provided by applicant): Poor dietary habits have plagued the US, resulting in increasing rates of obesity and its related comorbidities. The current primary care system is not well-equipped to provide effective dietary behavior change counseling because of the lack of training and knowledge of primary care providers about nutrition, as well as the additional competing demands. An innovative approach taken by food retailers in the Patient-Centered Medical Neighborhood (PCMN) is to use Registered Dietitians (RDs) to promote healthy eating within the food retail environment. However, these currently occur independently of the care coordinated within primary care. The proposed project will develop VioScreen PCMN, a technology-based interface to improve the efficiency of dietary intake assessment of referred patients to PCMN RDs from primary care, while also creating a portal by which the results of individualized counseling can be reported back to the Primary Care Physician through the Electronic Medical Record. A methodology that employs non-physician providers, such as RDs, within the PCMN model provides a valuable opportunity to utilize a multidisciplinary approach to patient care and maximize the strengths each clinician provides. These efforts may have a greater impact in those with the greatest needs and can be used efficiently in the time frame of primary care services has the potential to dramatically reduce the prevalence and severity of obesity and chronic diseases. Phase I will develop a prototype of VioScreen PCMN and test the feasibility of facilitating primary care patient outcomes through dietary and behavior changes via enhanced education and improved dietary counseling at the PCMN supermarket with outcomes reported directly back to primary care via health technologies.