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基于临床的转诊系统对领先的影响:一项随机对照试验

Michael Silverstein¹, Christopher Mack, Nicole Reavis

¹Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, Mass 02118, USA. michael.silverstein@bmc.org

|August 26, 2004

概括

初级保健医生可以显著提高头部开始招生. 一个简单的干预措施增加了符合条件的儿童的成功连接和出席率,证明了早期儿童发展计划的可扩展解决方案.

科学领域:

儿科儿科儿科
公共卫生公共卫生
幼儿教育儿童早期教育

背景情况:

头部起步计划为来自低收入家庭的儿童提供了显著的好处.
医生参与Head Start招生目前是有限的.

研究的目的:

评估一项以初级保健为基础的干预措施在提高Head Start就读率方面的有效性.
评估医生辅导入学对幼儿计划参与的影响.

主要方法:

这是一项随机对照试验,涉及四个西雅图卫生诊所的246名头部起步资格儿童 (0-4岁).
干预组接受了由研究人员直接邮寄的Head Start推包.
对照组获得了标准的Head Start联系信息.

主要成果:

干预组显示成功连接到Head Start的比率显著更高 (41%对18%).
在干预组中,积极的Head Start出席率也更高 (25%对11%).
干预措施有效地增加了头部起步等候名单上的位置 (22%与9%相比).

结论:

帮助家庭进行最初的Head Start连接过程可以大大增加计划的出席率.
初级保健干预是提高获得幼儿发展计划的可行策略.
通过医疗保健机构促进入学可以改善服务不足的儿童的结果.

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