在小儿初级保健中实施的社会护理系统:一个集群RCT
Arvin Garg1, Annelise Brochier2, Yorghos Tripodis3
1Child Health Equity Center, Department of Pediatrics, University of Massachusetts Chan Medical School and University of Massachusetts Memorial Children's Medical Center, Worcester, Massachusetts.
Pediatrics
|July 26, 2023
概括
增强的WE CARE社会护理系统实施不佳,但在低收入儿童中增加了资源转诊和免疫接种. 然而,这也导致了更高的住院率,但没有影响儿童虐待的结果.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 健康的社会决定因素对儿童的福祉和获得医疗保健有重大影响.
- 需要有效的干预措施来解决基本需求并改善低收入儿童的健康结果.
- 我们的护理系统是为了将社会护理整合到儿科初级保健中而开发的.
研究的目的:
- 评估WE CARE增强系统的实施忠实性和有效性.
- 评估WE CARE对低收入儿童从出生到3岁的医疗保健利用率和虐待儿童的影响.
主要方法:
- 在6个社区卫生中心进行了1型混合疗效实施集群随机对照试验.
- 这项研究跟踪了878名婴儿从出生到3岁,将增强的WE CARE系统与常规护理进行了比较.
- 数据使用一般化混合效应模型进行分析,以比较不同组的结果.
主要成果:
- 实施WE CARE系统的情况很差,只有28.9%的访问记录了查器的使用情况.
- 我们关心的家庭获得了显著更多的资源推 (43.1%对1.9%) 和更高的免疫坚持.
- 我们关心的儿童遇到更高的急诊室访问和住院率,虐待结果没有显著差异.
结论:
- 增强的WE CARE系统在现实环境中实施不佳.
- 虽然它改善了免疫接种和资源转介,但它也增加了医院住院等医疗保健利用率.
- 需要进行进一步的研究,以优化实施并了解综合社会护理系统对儿童健康结果的微妙影响.
更多相关视频
相关概念视频
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
01:11Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
01:15Nursing Implementation
5.1K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.1K
01:30Community Based Intervention
66
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
66
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
01:27Nursing Clinical Information System
818
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
818