青少年急诊室患者的社交导航:一项随机临床试验
Alexandra Rucker1, Ar'Reon Watson2, Gia Badolato2
1Division of Emergency Medicine, Children's National Hospital, Washington, D.C; School of Medicine and Health Sciences, The George Washington University, Washington, D.C.
概括
青少年的社会需求导航增加了社区资源的使用,但并没有减少急诊室 (ED) 的访问. 社会敏感的首席投诉和粮食不安全与年轻患者更多未满足的社会需求有关.
科学领域:
- 公共卫生 公共卫生
- 青少年医学 青少年医学
- 健康的社会决定因素
背景情况:
- 青少年急诊室 (ED) 的使用受未满足的社会需求的影响.
- 识别和解决这些需求对于改善健康结果和降低医疗保健成本至关重要.
研究的目的:
- 评估社会需求导航对青少年ED复诊和社区资源利用的影响.
- 确定与青少年ED患者中社会风险升高相关的特征.
主要方法:
- 一个随机对照试验,涉及399名青少年,将面对面的社会需求导航与资源指南进行比较.
- 数据收集包括社会需求调查,对12个月的ED复查进行图表审查,以及对社区资源使用的后续呼叫.
- 后勤回归分析了结果和未满足需求与社会风险因素之间的关联.
主要成果:
- 干预组和对照组在12个月后的ED重访中没有显著差异.
- 干预组显示社区资源使用显著增加 (aOR:3.5).
- 具有社会敏感的主要抱怨 (aOR: 2.2) 和粮食不安全 (aOR: 9.9) 的青少年报告多个未满足需求的可能性更高.
结论:
- 社会需求导航有效地增加了青少年的社区资源使用.
- 这种干预措施并没有显著减少随后的ED访问.
- 社会敏感的首席投诉和粮食不安全是寻求ED护理的青少年社会风险升高的关键指标.
更多相关视频
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
00:04A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
10.7K
相关概念视频
Clinical Trials
6.8K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.8K
Study Designs in Epidemiology
246
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
246
Clinical Trials: Overview
3.0K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
3.0K
Nursing Clinical Information System
792
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:
792
