通过合作伙伴关系改变孟菲斯的高风险喘:CHAMP计划的结果
Susan Steppe1, Dennis C Stokes2, Christina Underhill3
1Methodist Le Bonheur Community Outreach, Memphis, Tennessee.
概括
在谢尔比县的儿童中,CHAMP计划显著减少了与喘相关的医疗保健使用. 这项倡议通过解决准入和社会决定因素,改善了儿科喘护理,从而减少了急诊和恶化.
科学领域:
- 儿科肺病学 儿科肺病学
- 公共卫生干预措施 公共卫生干预措施
- 医疗服务研究 医疗服务研究
背景情况:
- 田纳西州谢尔比县的儿童在与喘有关的医疗保健资源利用率 (HRU) 过高.
- 现有的医疗保健系统面临着高风险儿科喘病例有效管理的挑战.
研究的目的:
- 概述通过伙伴关系 (CHAMP) 计划在孟菲斯改变高风险喘的目标,操作策略和评估结果.
- 评估针对性干预对谢尔比县儿科喘护理的影响.
主要方法:
- CHAMP利用了一个多学科的团队,一个24/7的通话线,一个患者数据注册表和社区健康教育工作者.
- 建立了合作伙伴关系,以解决环境触发因素和健康的社会决定因素.
- 对945名患有高风险喘的儿童 (年龄在2-18岁之间) 的注册前和注册后的医疗保健资源使用情况进行了分析.
主要成果:
- 招生包括1348名儿童,其中945人完成了该计划的一年 (90%是黑人,63%是男性).
- 观察到显著的减少:急诊室访问减少了58%,住院/观察访问减少了68%,紧急护理访问减少了42%,喘恶化总数减少了53%.
- 每位患者的喘恶化率从2.97降至1.40. 24/7的电话线解决了52%的问题,而无需医疗检查.
结论:
- 在谢尔比县的高风险儿科患者中,CHAMP计划有效地减少了喘相关的HRU.
- 该计划的成功源于有针对性的举措,解决了儿童喘护理的主要障碍.
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