在小儿初级保健诊所的食品储藏室推和利用
Kelsey A Egan1, Ziming Xuan2, Melissa Hofman3
1Division of Health Services Research, Department of Pediatrics, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts.
American journal of preventive medicine
|October 9, 2023
概括
许多被选为粮食不安全风险的儿童没有获得食品储藏室推或使用服务. 临床附近和临床医生推等因素会影响利用率,突出显示儿科护理方面的差距.
科学领域:
- 儿科初级护理 儿科初级护理
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 粮食不安全是影响儿童健康和发展的一个重要问题.
- 儿科初级保健机构提供了选和解决粮食不安全问题的机会.
- 了解转介和利用途径对于有效的干预至关重要.
研究的目的:
- 描述从食品不安全风险查到食品储藏室转诊和在儿科初级保健中的使用的进展.
- 确定影响这种途径的患者层面和系统层面的因素.
主要方法:
- 对14280名儿童患者 (0-21岁) 进行了回顾性研究,这些患者进行了初级保健访问 (2018年3月 - 2020年2月).
- 多变量回归分析以检查与转诊和利用相关的因素.
- 在2020-2022年期间进行的分析.
主要成果:
- 31.9%的查患者有食物不安全; 18.5%的患者接受了转诊; 28.9%的转诊患者使用了储藏室.
- 增加转诊几率的因素包括临床附近和额外的与健康有关的社会需求.
- 增加使用率的因素包括首选的语言,西班牙裔种族,临床时间与储藏室时间一致,临床医生转诊和食品紧急转诊.
结论:
- 从查到食品储藏室利用,存在相当大的消耗.
- 患者人口统计学,社会经济因素和系统层面的因素显著影响成功的转诊和储藏室使用.
- 在儿科环境中优化粮食不安全护理途径需要解决这些已识别的因素.
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