短暂住院急诊儿科住院病例的区域差异:一种连续的混合方法方法,通过数据链接和定性访谈探索差异
Emma King1, Smita Dick2, Pat Hoddinott1
1Nursing Midwifery and Allied Health Professions Research Unit, University of Stirling, Stirling, UK.
BMJ open
|September 25, 2023
概括
苏格兰的儿科短期住院 (SSA) 率在不同地区有五倍的差异,在贫困地区更高. 在SSA的区域差异受到服务获取,结构,政策和家长能力的影响,而不仅仅是临床因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科医疗保健 儿科医疗保健
- 公共卫生政策 公共卫生政策
背景情况:
- 儿科短期住院病例 (SSAs) 占儿童紧急住院病例的很大一部分.
- 了解SSA率的区域差异对于优化医疗保健资源分配和确保公平获得医疗保健至关重要.
研究的目的:
- 描述和理解苏格兰各卫生局地区儿科短期住院 (SSA) 率的地理差异.
- 探索影响短期住院儿童入院决策的因素,考虑护理途径,服务特征和地理接入.
主要方法:
- 一项探索性顺序混合方法研究,将常规获得的住院数据 (2015-2017年) 的定量分析与定性访谈相结合.
- 量化数据比较了11个苏格兰卫生局地区的年均人均SSA率.
- 对来自五个不同地区的医疗保健专业人员 (n=48) 和家长 (n=15) 进行了定性采访,以探索影响因素.
主要成果:
- 在整个苏格兰地区,SSA率的五倍变化 (每年14至69/1000名儿童) 被观察到.
- 与较不贫困社区相比,更贫困社区的SSA更高.
- 区域差异归因于服务的近距离和易于获取,当地服务配置,国家政策以及对SSA的不同定义. 家长在家中处理疾病的能力也是一个关键因素.
结论:
- 儿科短期住院的入院率显示出根据地区,病情和地区贫困情况的大量变化.
- 定性发现强调了服务提供,地理可访问性和社会经济因素在推动这些变化的复杂相互作用.
- 该研究的结果为开发有针对性的干预措施提供了有价值的见解,以改善儿科护理途径并减少不合理的区域差异.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
11.9K
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.1K
相关概念视频
Specialized Care Centers and Settings-II
749
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...
749
Methods of Documentation VI: Case Management Model
592
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...
592
Hospitals-I
870
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
870
Methods 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
Case Studies
11.7K
There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.
11.7K
Specialized Care Centers and Settings-I
961
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
961
