在儿科导航程序中确定与重复转诊相关的风险因素
Caitlin Koob1,2, Mackenzie Stuenkel3, Ryan J Gagnon4
1Department of Public Health Sciences, Clemson University, 501 Edwards Hall, Clemson, SC, USA. ckoob@clemson.edu.
Journal of community health
|September 2, 2023
概括
患者导航计划 (PNP) 帮助有发育障碍的儿童. 患有多动症,行为问题或医疗补助保险的老年儿童更有可能需要重复转诊,这需要对风险组进行计划调整.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 医疗保健服务研究 医疗服务研究
- 儿童发展 儿童发展
背景情况:
- 美国8岁儿童中有1/5患有精神,行为或发育障碍.
- 这些儿童经常面临复杂的护理需求和未满足的医疗需求.
- 患者导航计划 (PNP) 旨在整合护理和管理转诊.
研究的目的:
- 确定与反复转介到PNP相关的因素.
- 为危险儿童提供推模式和适应导航支持.
- 为了优化推和服务之间的连接.
主要方法:
- 分析了2017-2022年在南卡罗来纳州向PNP推的15,702个推.
- 检查了影响重复转诊的人口统计,诊断和保险因素.
- 统计分析以确定重复转诊的预测因素.
主要成果:
- 71.07%的儿童没有重复转诊.
- 重复转诊的风险更高:年长的孩子,ADHD,行为问题,抑郁症,多重需求,医疗补助保险.
- 重复转诊的风险较低:非西班牙裔黑人儿童,健康儿童访问的转诊,私人/Tricare保险.
结论:
- 医疗补助保险儿童,通常更年轻,有多种需求,面临复合风险.
- 研究结果表明,应适应PNP协议的风险人群.
- 优化推到服务连接对于公平的护理提供至关重要.
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