Implementing Food as Medicine During COVID-19: Produce Prescriptions and Integrative Group Medical Visits in Federally Qualified Health Centers.
Background: Food as Medicine is a rapidly developing area of health care in the United States, aimed at concurrently addressing nutrition-sensitive chronic conditions and food and nutrition insecurity. Recipe4Health (R4H) is a Food as Medicine program with an integrative health equity focus. It prov...
| Publicado en: | Global Advances in Integrative Medicine & Health Vol. 14; pp. 1 - 16 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190494233&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190494233 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27536130 N7A6 jtl: Global Advances in Integrative Medicine & Health issn: 27536130 maglogo: Y pubinfo: dt: 2025 vid: 14 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 190494233 190494233 190494233 10.1177/27536130251316535 190494233 ppf: 1 ppct: 15 formats: tig: atl: Implementing Food as Medicine During COVID-19: Produce Prescriptions and Integrative Group Medical Visits in Federally Qualified Health Centers. aug: au: Thompson-Lastad, Ariana Ruvalcaba, Denise Chen, Wei-Ting Espinosa, Patricia Rodriguez Chiu, Dorothy T. Xiao, Lan Rosas, Lisa G. Chen, Steven affil: Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA, USA sug: subj: Chronic Disease Therapy Food Security Food Assistance Models, Theoretical Evaluation Implementation Science Program Implementation Shared Medical Appointments Hospitals, Federal COVID-19 Pandemic Human Adult Middle Age Aged Male Female California Funding Source Multimethod Studies Prospective Studies Conceptual Framework Semi-Structured Interview Thematic Analysis Descriptive Statistics Race Factors Ethnic Groups Native Americans Alaska Natives Pacific Islanders African Americans Hispanic Americans Telehealth Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Food as Medicine is a rapidly developing area of health care in the United States, aimed at concurrently addressing nutrition-sensitive chronic conditions and food and nutrition insecurity. Recipe4Health (R4H) is a Food as Medicine program with an integrative health equity focus. It provides prescriptions for locally grown produce ('Food Farmacy') with or without integrative group medical visits, alongside training for clinic staff. Objectives: To describe the initial implementation of R4H in four Federally Qualified Health Centers in Northern California, using a convergent mixed-methods approach. Methods: We used the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) implementation science framework to assess the first two years of R4H (2020-2022). We draw from 40 interviews (26 partner organization staff, 14 patients) and program data on reach and adoption. Qualitative data were analyzed using codebook thematic analysis. Results: Reach : From January 2020 to August 2022, 3255 patients were referred to the program; 1997 of those referred (61%) enrolled in the Food Farmacy only (N = 1681) or Food Farmacy + integrative group medical visits (N = 316). Participating patients included a wide range of ages (mean age 41.4, [SD 20]; 18% < 18 years old) and racial and ethnic backgrounds (3% American Indian or Alaska Native, 6% Asian or Pacific Islander, 19% Black, 57% Hispanic/Latine, 7% white). 69% were female; 43% primarily spoke Spanish. Adoption : 84% of trained clinic staff referred two or more patients to R4H. Implementation : Elements of successful implementation included: (1) support from county government leadership, (2) centralized coordination of the multi-sector partnership, and (3) a flexible approach responsive to organizational and COVID-related shifts. R4H implementation informed statewide Medicaid policy changes. Maintenance : To date, all four clinics continue to participate in R4H. Conclusion: Centralized implementation, training, and administration of Food as Medicine programs can strengthen community health centers' capacities to concurrently address chronic conditions and food insecurity. Multi-sector partnerships can support Food as Medicine program sustainability. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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