对暴露于阿片类药物的分娩人员及其婴儿和儿童的护理的双向框架
Shahla M Jilani1, Jonathan M Davis2, Matthew Grossman3
1Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services, Washington, DC.
The Journal of pediatrics
|December 24, 2023
概括
大多数美国卫生与人类服务部的计划都集中在产妇与阿片类药物使用障碍 (OUD) 患者及其婴儿的二元期上. 这项研究开发了综合临床护理,监测和研究的双层框架.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 成 药物 药物 药物 药物
背景情况:
- 产妇的阿片类药物使用障碍 (OUD) 对婴儿和儿童的福祉产生重大影响.
- 现有的健康和支持性活动往往单独地针对分娩人员或婴儿,而不是作为一个二合一.
- 需要一个统一的框架来为这些家庭提供全面的护理,监测和研究.
研究的目的:
- 为临床护理,监测和研究开发一个以二为中心的框架.
- 分析美国卫生与人类服务部 (HHS) 目前为患有OUD的产妇及其婴儿/儿童提供服务的活动.
- 为了确定有效的二次干预的关键特征.
主要方法:
- 对2023年2月至3月 (财政年度2023-2024) 的HHS活动进行分析.
- 按类型和重点分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层分层
- 在11个HHS机构中对75个合格活动进行了描述性和专题分析.
主要成果:
- 在75项评估的HHS活动中,有62%专注于双 (产后患有OUD的人和婴儿/儿童).
- 关键的二代活动类别包括研究 (45%),教育 (28%) 和医疗服务 (21%).
- 确定了基本特征:生命过程方法,强调关系,双向结果,服务包裹,支付模式,数据链接和健康的社会决定因素.
结论:
- 大多数HHS计划都对这一群体进行了双向关注.
- 综合识别出来的元素使得一个全面的二框架成为可能.
- 这个框架整合了临床护理,公共卫生监测和改善结果的研究.
更多相关视频
05:13Preclinical Model of Prenatal Delta-9-Tetrahydrocannabinol Exposure to Assess Its Impact on Neurodevelopmental Outcomes
Published on: February 28, 2025
207
07:11Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
Published on: February 5, 2019
9.0K
相关概念视频
01:30Specialized Care Centers and Settings-I
944
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
944
01:30Specialized Care Centers and Settings-II
727
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
727
00:55Parental Care
11.7K
Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
11.7K
01:18Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
01:21Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.6K
01:19Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K