评估和改善WIC在初级保健环境中的招生情况:质量倡议
Bryan S Monroe1, Lina M Rengifo1, Meagan R Wingler1
1Wake Forest University School of Medicine, Winston-Salem, North Carolina.
Pediatrics
|July 13, 2023
概括
初级保健干预措施通过解决获取和知识障碍,促进了妇女,婴儿和儿童特殊补充营养计划 (WIC) 的招生. 这项质量改进倡议改善了服务不足的家庭的WIC参与.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 妇女,婴儿和儿童特殊补充营养计划 (WIC) 对母亲和儿童健康至关重要,但从2009年到2020年,参与率下降.
- 粮食不安全严重影响儿童和母亲的健康,需要有效的营养计划,如WIC.
研究的目的:
- 为了确定影响WIC参与的因素.
- 通过基于初级保健的质量改善干预措施,提高WIC入学率.
主要方法:
- 在一个为医疗补助保险家庭服务的儿科初级保健诊所实施计划-做-学习-行动周期.
- 启动了5岁以下儿童的普遍WIC查,咨询和转诊,并集成到电子健康记录中.
- 进行了关于WIC参与障碍的调查,并分析了参与预测指标的人口数据.
主要成果:
- 在新的WIC招生中实现了42%的增长,持续改善.
- 显著提高了供应商对WIC服务的了解 (P <.001).
- 确定"访问问题"和"WIC知识差距"是主要障碍;老年和非医疗补助保险与参与率较低有关.
结论:
- 证明了初级保健干预措施的可行性,以改善WIC入学率.
- 强调知识差距和访问问题是WIC参与的主要可修改障碍.
- 倡导扩大这些低成本干预措施,使更多的贫困家庭受益.
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