临床医师冠军对社会需求的影响 儿童医疗实践中的查量
Rachel S Berman1, Hong-An T Nguyen1, Samantha R Levano2
1Department of Pediatrics, Children's Hospital at Montefiore, Bronx, NY, USA.
Clinical pediatrics
|September 16, 2023
概括
在医疗保健中实施社会需求查是具有挑战性的. 临床医师冠军显著提高了儿科实践中的社会需求查率,即使是在大流行期间.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 针对社会需求的常规查对于解决健康差异至关重要.
- 卫生系统在实施一致的社会需求查协议时遇到重大障碍.
研究的目的:
- 评估临床医师冠军对儿科初级保健机构社会需求查率的影响.
- 确定临床医生冠军是否可以克服社会需求查的实施障碍.
主要方法:
- 从2018年4月到2021年8月,在纽约布朗克斯的11家儿科初级保健实践中进行了一项准实验性研究.
- 三个实践实施了临床医生冠军干预,而八个则作为对照.
- 使用统计分析,包括沃尔德基平方测试和波松回归来比较冠军引入前后以及干预和对照组之间的查率.
主要成果:
- 引入一名临床医师冠军是增加社会需求查 (P < .001) 的重要预测因素.
- 与临床医生冠军的实践表明,与引入前相比,引入后的查率显著更高 (P < .001).
- 与临床医师冠军的实践表现出比对照实践高2.8倍的月度查率,并在大流行期间保持更高的比率.
结论:
- 临床医师冠军是有效的提高社会需求查率在儿科初级保健.
- 临床医生冠军的存在可以促进社会需求查的常规实施,改善医疗保健公平.
- 这种干预模式对加强将健康的社会决定因素纳入初级保健环境具有前景.
相关概念视频
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Community Based Intervention
65
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...
65
Methods of Documentation VI: Case Management Model
597
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
597
Specialized Care Centers and Settings-II
755
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
755
Introduction To Health Care Delivery System
2.8K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.8K


