家庭桥梁计划的试点评估:以沟通和文化为重点的住院患者导航计划
K Casey Lion1, Kimberly C Arthur2, Mariana Frías García2
1Center for Child Health, Behavior and Development (K Casey Lion, KC Arthur, MF García, LJ Sotelo Guerra, H Chisholm, BE Ebel, C Zhou, and R Mangione-Smith), Seattle Children's Research Institute, Seattle, Wash; Department of Pediatrics (K Casey Lion, E Griego, BE Ebel, C Zhou, and R Mangione-Smith), University of Washington School of Medicine, Seattle, Wash.
家庭桥梁计划是一项新的住院导航干预,对于面临健康差异的住院儿童来说,它被证明是可行的和可以接受的. 它改善了系统导航,并减少了西班牙语家庭的障碍.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 患者导航 患者导航
背景情况:
- 来自低收入和少数民族背景的儿童由于系统性和人际种族主义而经历了更糟糕的医院结果.
- 沟通和系统障碍在很大程度上导致了这些差异.
研究的目的:
- 测试一种新型住院患者通信专注导航程序的可行性和可接受性.
- 解决住院儿童面临的健康差异风险障碍.
主要方法:
- 家庭桥梁计划是通过多语言设计研讨会开发的.
- 它涉及医院指导,社会需求查,沟通指导和情感支持.
- 一个单臂试验招募了住院儿童的家庭,这些儿童有公共保险/没有保险和少数民族种族/种族.
主要成果:
- 该计划是可行的,家庭平均收到6个组件中的5.3个组件.
- 护理人员 (92%) 和提供者 (81%) 报告的高满意度.
- 显著改善了家长报告的系统导航,并减少了西班牙语家长的技能相关障碍.
结论:
- 家庭桥梁计划是一个可行的和可以接受的干预措施.
- 它显示了克服障碍和减少住院儿童之间的差异的潜力.
- 这种患者导航模型可以改善弱势群体的医院体验.
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