在儿科初级保健中早期发现神经发育障碍:范围审查
Paulette T O'Hara1,2, Pamela Talero Cabrejo2, Tracey V Earland2
1Department of Public Health, California Children's Services, Los Angeles, CA, United States.
Family practice
|July 25, 2023
概括
在幼儿中早期发现神经发育障碍至关重要. 儿科初级保健模式显示出前景,与职业治疗实践保持一致,但往往将职业治疗师排除在早期检测工作之外.
科学领域:
- 儿科初级医疗保健的儿童初级医疗保健.
- 神经发育障碍 神经发育障碍
- 职业治疗是一种职业疗法.
背景情况:
- 早期发现儿童的神经发育障碍对于长期结果至关重要.
- 及时干预可以减轻这些条件对终身影响.
研究的目的:
- 确定儿科初级保健模型的特征,以支持在婴幼儿中早期发现神经发育障碍.
- 确定参与这些模型的医疗保健从业人员.
- 评估这些模型与职业治疗的实践范围的一致性.
主要方法:
- 使用乔安娜·布里格斯研究所框架进行了范围审查.
- 在PubMed Central,CINAHL和Scopus数据库 (2022年1月至2月) 中进行了搜索.
- 包括专注于0-3岁的神经发育障碍儿童 (例如,脑,自闭症谱系障碍) 在初级保健环境中的研究,发表于2010-2022.
主要成果:
- 包括22项研究,突出包括技术,家长/员工教育,资金,灵活评估和延长访问时间的模型.
- 主要从业人员包括儿科医生,全科医生/家庭医生,护士从业人员和办公室工作人员.
- 所有识别的模型都与职业治疗的健康促进和干预原则保持一致,但职业治疗师没有明确地被纳入初级保健机构.
结论:
- 没有研究将职业治疗作为儿童初级保健提供者用于早期检测.
- 然而,现有的模型具有与职业治疗实践一致的特征.
- 跨学科的合作,包括潜在的职业治疗参与,是提高初级保健早期检测的关键.
关键词:
有风险的群体.自闭症谱系障碍 自闭症谱系障碍发展障碍 发展障碍 发展障碍家庭健康 家庭健康医疗之家/以患者为中心的医疗之家运动发育/脑麻儿科 儿科医生 儿科人口健康 人口健康预防 预防 预防主要护理是一级医疗保健.查检查 查检查 查检查 查检查更多相关视频
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