针对伦敦急诊室的弱势年轻人的青年暴力干预计划:快速评估
John Appleby1, Theo Georghiou1, Jean Ledger2
1Nuffield Trust, London, UK.
Health and social care delivery research
|July 20, 2023
概括
这项研究评估了NHS医院的一项青年暴力干预计划,发现尽管存在实施挑战,但这是一项必要的服务. 由于数据限制和COVID-19大流行,测量其定量影响是很困难的.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 预防青少年暴力 预防青少年暴力
背景情况:
- 在NHS急诊室增加青年工作者计划的实施,以支持受暴力影响的11-24岁的年轻人.
- 这项研究评估了Redthread倡议,这是一个与NHS信托合作的青年暴力干预计划.
研究的目的:
- 评估大学学院伦敦医院NHS信托基金会Redthread青年暴力干预计划的实施和影响.
- 评估使用例行二级护理数据进行影响评估的可行性.
- 从NHS的角度进行成本效益分析.
主要方法:
- 混合方法多阶段研究,包括过程评估,定量和经济分析,持续两年.
- 与员工和利益相关者进行了22次半结构面试.
- 分析了程序文件,聘请了专家,并观察了会议.
主要成果:
- 红线服务被认为是必要的,并对现有服务进行补充,在儿科内嵌入良好,但在成人急诊部则不那么重要.
- 由于不同的转诊原因和支持干预措施,实施和评估是复杂的.
- 估计,如果三分之一的干预措施避免了紧急住院住院,那么估计的平衡点.
结论:
- 该研究为计划实施提供了定性证据,NHS工作人员认为该服务很重要.
- 常规患者数据系统和联系的挑战阻碍了定量影响测量.
- 提出了建议,以支持未来对类似的青少年暴力干预计划的评估.
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