探索影响患有吞障碍的儿科患者预约因素:对言语和语言病理学出勤的影响
Jonathan M Carnino1, Henry Bayly2, Amos M Mwaura1
1Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
International journal of pediatric otorhinolaryngology
|November 13, 2023
概括
患有吞障碍的儿科患者在医疗中心有初级保健提供者 (PCP) 或使用远程医疗服务时,更频繁地参加语音语言病理学 (SLP) 预约.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 语音语言病理学 语言病理学
- 临床研究 临床研究
背景情况:
- 食和吞障碍在儿童中越来越常见,需要有效的管理.
- 语音语言病理学 (SLP) 服务对于诊断和治疗这些儿科疾病至关重要.
- 了解影响预约出席的因素对于优化护理提供至关重要.
研究的目的:
- 为了确定影响儿童吞障碍患者参加SLP预约的因素.
- 分析人口统计学,预约特征和医疗保健提供者关系对没有出现率的影响.
主要方法:
- 在波士顿医疗中心对355名儿科患者进行了回顾性分析,这些患者因吞问题被转到SLP.
- 检查的变量包括年龄,性别,种族,语言,预约时间,远程医疗使用,PCP附属,以及之前的取消.
- 统计分析包括奇平方测试和二进制物流回归.
主要成果:
- 远程医疗预约和在医疗中心有初级保健提供者 (PCP) 与显著更高的出席率有关.
- 一天的预约时间和COVID-19封锁状态并没有显著影响不出现.
- 以前的取消预约增加了未来不出现的可能性,而推部门,性别,种族和语言没有.
结论:
- 在医疗中心内拥有PCP和利用远程医疗是改善儿科SLP吞障碍预约出席率的关键因素.
- 需要解决取消预约的策略,以优化患者的坚持.
- 进一步的研究应该调查错过预约的根本原因,以加强对儿童的SLP服务提供.
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