Objectives Disease-related malnutrition (DRM) presents in up to half of adults and one-third of children admitted to Canadian hospitals and significantly impacts health outcomes. Strategies to screen, diagnose and treat DRM exist but policy to facilitate implementation and sustainability are lacking. The purpose of this study was to explore gaps, opportunities, barriers and enablers for DRM policy in Canada. Methods A qualitative study was conducted with multi-national key informants in DRM and/or health policy. Purposive sampling identified participants for a semi-structured interview. The health policy triangle framework informs policy outcomes by considering actors, content, context and processes, and was used to guide this work. Inductive thematic analysis was completed, followed by deductive analysis based on the framework. Results DRM policy actors were seen as champions in healthcare, senior leaders in healthcare administration and individuals with lived experience. Policy content focused on screening, diagnosis and treatment of DRM. Key areas related to policy context included system specifics related to setting, cost and capacity, and social determinants of health. DRM policy processes were viewed as cross-sectoral and multi-level governance, mandating and other reinforcement strategies, windows of opportunity, and evaluation and research. Conclusions DRM care has advanced substantially, yet policy-level changes are sparse, and gaps exist. DRM policy is facilitated by similar content around the globe and needs to be tailored to address setting-specific needs. Actors, content, context and processes inform policy and can be a dominant lever to accelerate nutrition care best practices. No data are available. Data are transcripts of key informant interviews and contain personally identifying information thus cannot be shared publicly.

中文翻译：

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通过关键知情人访谈探索营养不良政策中的差距、机遇、障碍和推动因素：CANDreaM 倡议的定性调查


目标 加拿大医院住院的多达一半的成年人和三分之一的儿童患有疾病相关的营养不良 (DRM)，并严重影响健康结果。存在筛查、诊断和治疗灾害风险管理的策略，但缺乏促进实施和可持续性的政策。本研究的目的是探讨加拿大 DRM 政策的差距、机遇、障碍和推动因素。方法 对灾害风险管理和/或卫生政策方面的跨国关键信息提供者进行了定性研究。有目的的抽样确定了半结构化访谈的参与者。卫生政策三角框架通过考虑参与者、内容、背景和流程来告知政策结果，并用于指导这项工作。完成了归纳主题分析，然后基于框架进行演绎分析。结果 DRM 政策参与者被视为医疗保健领域的拥护者、医疗保健管理的高级领导者和具有生活经验的个人。政策内容侧重于DRM的筛查、诊断和治疗。与政策背景相关的关键领域包括与环境、成本和能力以及健康社会决定因素相关的系统细节。灾害风险管理政策流程被视为跨部门和多层次的治理、授权和其他强化战略、机会之窗以及评估和研究。结论 DRM 护理已取得长足进步，但政策层面的变化很少，并且存在差距。 DRM 政策由全球各地的类似内容推动，并且需要进行定制以满足特定环境的需求。参与者、内容、背景和流程为政策提供信息，并且可以成为加速营养护理最佳实践的主导杠杆。无可用数据。 数据是关键知情人访谈的笔录，包含个人身份信息，因此不能公开共享。