在暴露于物质的新生儿中,早期干预转诊的流行率和预测因素
Stephanie L Bourque1, Blair W Weikel1, Sunah S Hwang1
1Department of Pediatrics, Section of Neonatology, University of Colorado School of Medicine, Aurora, Colorado.
Hospital pediatrics
|September 26, 2023
概括
早期干预 (EI) 转诊对于暴露于物质的新生儿 (SEN) 是不公平的. 诸如物质类型和孕产妇保险等因素会影响获取,强调需要进行系统性改进.
科学领域:
- 新生儿护理 新生儿护理
- 发育儿科 发育儿科
- 公共卫生 公共卫生
背景情况:
- 暴露于物质的新生儿 (SENs) 面临着发育风险.
- 公平获得早期干预 (EI) 服务对于减轻这些风险至关重要.
- 众所周知,目前SEN的EI访问是不公平的.
研究的目的:
- 为了确定EI推在SENs中的流行程度,在一个协作中.
- 为了确定与SENs的EI推相关的预测因素.
- 根据物质暴露和保险状况评估EI转介中的差异.
主要方法:
- 在电子医疗记录中记录的物质暴露的母婴二的回顾性分析.
- 基于EI转诊状态的母亲/婴儿特征的统计比较,使用千平方,费舍尔精确和ANOVA测试.
- 多变量波桑回归模型用于评估特征和EI转介之间的独立关联.
主要成果:
- 只有41% (504/1222) 的已识别的SEN获得了EI转介.
- 与暴露于MOUD的婴儿相比,暴露于非MOUD或多物质的婴儿的转诊率较低.
- 拥有私人或自付/没有保险的婴儿的转诊率明显低于拥有公共保险的婴儿.
结论:
- 只有不到一半的SEN获得了必要的EI服务,这表明在护理方面存在很大的差距.
- 推率根据暴露于物质的类型和孕产妇保险状况而有很大差异.
- 系统性变化至关重要,以确保所有SEN的平等EI服务接入.
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