Investigation on the current management and clinical application of formula food for special medical purpose in 300 secondary and above medical institutions in China

ObjectiveTo investigate and analyze the standardized management and clinical application of food for special medical purposes (FSMP) in secondary and above medical institutions of China.MethodsIn the form of online questionnaire, the medical institutions in 34 provinces / municipalities were sampled...

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Main Authors: LYU Yishu, MU Dongyu, GONG Jie, SHI Lei, JIANG Yan, HU Wen
Format: Article
Language:zho
Published: The Editorial Office of Chinese Journal of Food Hygiene 2023-03-01
Series:Zhongguo shipin weisheng zazhi
Subjects:
Online Access:http://www.zgspws.com/zgspwszz/article/abstract/202303016
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author LYU Yishu
MU Dongyu
GONG Jie
SHI Lei
JIANG Yan
HU Wen
author_facet LYU Yishu
MU Dongyu
GONG Jie
SHI Lei
JIANG Yan
HU Wen
author_sort LYU Yishu
collection DOAJ
description ObjectiveTo investigate and analyze the standardized management and clinical application of food for special medical purposes (FSMP) in secondary and above medical institutions of China.MethodsIn the form of online questionnaire, the medical institutions in 34 provinces / municipalities were sampled through the platforms of Sichuan Provincial Clinical Nutrition Quality Control Center and the Clinical Nutrition Discipline Alliance of West China Hospital.ResultsA total of 300 valid questionnaires were collected. In terms of FSMP management: 24.3% of medical institutions set up FSMP management committee; 64.3% of medical institutions formulated the catalogue of FSMP. Medical institutions with FSMP warehouses and FSMP preparation rooms accounted for 47.3% and 50.7%, respectively. 40.7% of medical institutions incorporated FSMP into information management; 43.3% of medical institutions charged unified coding fees. For clinical application of FSMP: 94% of medical institutions required nutrition risk screening before FSMP prescription; 84.7% of medical institutions required qualified prescribers; nearly 90% of medical institutions prescribed FSMP by nutritionists; 67.3% of medical institutions required the superior clinicians/ nutritionists to review the FSMP prescription before implementation. The adverse reaction of FSMP use was monitored in all 300 medical institutions, and only 30.7% reported the monitoring data of the adverse reactions to the provincial / municipal clinical nutrition quality control center.ConclusionThe government should strengthen the construction of specialized fee catalogue and the unification of prescription qualification training; medical institutions at all levels, especially hospitals in the western region and secondary hospitals nationwide, should set up FSMP management committee as soon as possible, and integrate FSMP into the hospital information system. The clinical nutrition discipline should strengthen the formulation of clinical norms, detailed rules for the application of FSMP and supervision system. Safety monitoring and effectiveness evaluation should be strengthened so as to maximize the value of nutritional treatment of FSMP.
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spelling doaj.art-ee459c4b36624d8495b09332e55171a02023-05-25T02:13:58ZzhoThe Editorial Office of Chinese Journal of Food HygieneZhongguo shipin weisheng zazhi1004-84562023-03-0135342242810.13590/j.cjfh.2023.03.0161004-8456(2023)03-0422-07Investigation on the current management and clinical application of formula food for special medical purpose in 300 secondary and above medical institutions in ChinaLYU Yishu0MU Dongyu1GONG Jie2SHI Lei3JIANG Yan4HU Wen5Department of Food Nutrition, School of Laboratory Medicine, Chengdu Medical College, Sichuan Chengdu 610500, ChinaClinical Nutrition Department, West China Hospital of Sichuan University, Sichuan Chengdu 610041, ChinaClinical Nutrition Department, West China Hospital of Sichuan University, Sichuan Chengdu 610041, ChinaClinical Nutrition Department, West China Hospital of Sichuan University, Sichuan Chengdu 610041, ChinaDepartment of Food Nutrition, School of Laboratory Medicine, Chengdu Medical College, Sichuan Chengdu 610500, ChinaClinical Nutrition Department, West China Hospital of Sichuan University, Sichuan Chengdu 610041, ChinaObjectiveTo investigate and analyze the standardized management and clinical application of food for special medical purposes (FSMP) in secondary and above medical institutions of China.MethodsIn the form of online questionnaire, the medical institutions in 34 provinces / municipalities were sampled through the platforms of Sichuan Provincial Clinical Nutrition Quality Control Center and the Clinical Nutrition Discipline Alliance of West China Hospital.ResultsA total of 300 valid questionnaires were collected. In terms of FSMP management: 24.3% of medical institutions set up FSMP management committee; 64.3% of medical institutions formulated the catalogue of FSMP. Medical institutions with FSMP warehouses and FSMP preparation rooms accounted for 47.3% and 50.7%, respectively. 40.7% of medical institutions incorporated FSMP into information management; 43.3% of medical institutions charged unified coding fees. For clinical application of FSMP: 94% of medical institutions required nutrition risk screening before FSMP prescription; 84.7% of medical institutions required qualified prescribers; nearly 90% of medical institutions prescribed FSMP by nutritionists; 67.3% of medical institutions required the superior clinicians/ nutritionists to review the FSMP prescription before implementation. The adverse reaction of FSMP use was monitored in all 300 medical institutions, and only 30.7% reported the monitoring data of the adverse reactions to the provincial / municipal clinical nutrition quality control center.ConclusionThe government should strengthen the construction of specialized fee catalogue and the unification of prescription qualification training; medical institutions at all levels, especially hospitals in the western region and secondary hospitals nationwide, should set up FSMP management committee as soon as possible, and integrate FSMP into the hospital information system. The clinical nutrition discipline should strengthen the formulation of clinical norms, detailed rules for the application of FSMP and supervision system. Safety monitoring and effectiveness evaluation should be strengthened so as to maximize the value of nutritional treatment of FSMP.http://www.zgspws.com/zgspwszz/article/abstract/202303016food for special medical purposesclinical nutritiondiscipline constructionstandardized managementclinical application
spellingShingle LYU Yishu
MU Dongyu
GONG Jie
SHI Lei
JIANG Yan
HU Wen
Investigation on the current management and clinical application of formula food for special medical purpose in 300 secondary and above medical institutions in China
Zhongguo shipin weisheng zazhi
food for special medical purposes
clinical nutrition
discipline construction
standardized management
clinical application
title Investigation on the current management and clinical application of formula food for special medical purpose in 300 secondary and above medical institutions in China
title_full Investigation on the current management and clinical application of formula food for special medical purpose in 300 secondary and above medical institutions in China
title_fullStr Investigation on the current management and clinical application of formula food for special medical purpose in 300 secondary and above medical institutions in China
title_full_unstemmed Investigation on the current management and clinical application of formula food for special medical purpose in 300 secondary and above medical institutions in China
title_short Investigation on the current management and clinical application of formula food for special medical purpose in 300 secondary and above medical institutions in China
title_sort investigation on the current management and clinical application of formula food for special medical purpose in 300 secondary and above medical institutions in china
topic food for special medical purposes
clinical nutrition
discipline construction
standardized management
clinical application
url http://www.zgspws.com/zgspwszz/article/abstract/202303016
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