在整个COVID-19大流行期间,改善整个卫生系统的粮食不安全查
Lani Kroese1, Kenia Lobo1, Mary Meyer1
1Pediatrics, Inova Fairfax Medical Campus, Falls Church, Virginia, USA.
BMJ open quality
|January 31, 2024
概括
儿科医生将多个地点的粮食不安全查率从0%提高到30%,为3900多人提供了必需的粮食资源. 这个倡议解决了儿童健康的关键需求.
科学领域:
- 儿科健康 儿科健康
- 公共卫生干预 公共卫生干预
- 提高质量 提高科学 提高质量
背景情况:
- 粮食不安全严重影响儿童的身体和精神健康,长期影响到成年.
- 粮食不安全率有所上升,特别是自COVID-19大流行以来.
- 美国儿科学会倡导儿科医生选和解决粮食不安全问题.
研究的目的:
- 将儿童医疗院的粮食不安全查完成率从0%提高到85%.
- 将查扩展到儿科急诊室和专科诊所.
- 实施对粮食不安全家庭进行查,记录和转诊的系统流程.
主要方法:
- 一个多中心质量改进项目在儿童医疗中心,急诊室和专科诊所进行.
- 验证的饥饿生命体征问卷被用作查工具.
- 计划-做-研究-行动周期指导实施标准选,文档和转介流程.
主要成果:
- 查率从所有地点的中位数从0%增加到30%.
- 儿科医疗中心的查率达到80%,而急诊室的查率为24%.
- 9,842个家庭 (20.9%) 呈阳性食品不安全查结果,其中895个家庭获得了超过69,000磅的食物.
结论:
- 质量改进方法有效地提高了医院系统的粮食不安全查.
- 该项目成功地将粮食不安全的家庭与社区的重要资源联系起来.
- 该计划展示了一种可扩展的方法,用于在儿科卫生保健机构内解决关键的社区健康需求.
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