通过提供者为基础的干预增加青少年性活动查.
Diane Parker1, April A Braswell1, Matthew J Peterson1
1University of North Carolina Wilmington, USA.
Clinical nursing research
|February 7, 2024
概括
实施提供者教育和EHR修改显著增加了青少年性健康查. 这一战略是一种可行且具有成本效益的方法,可以改善年轻人的预防性护理.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 青少年医学 青少年医学
- 公共卫生 公共卫生
背景情况:
- 青少年的性活动需要全面的儿科护理,包括性健康查.
- 青少年的危险性行为强调了准确的性健康史对于疾病预防和管理的重要性.
- 专注于供应商的策略在加强性健康查等预防性服务的提供方面已经证明是有效的.
研究的目的:
- 评估提供者教育和电子健康记录 (EHR) 修改倡议对青少年性活动查率的影响.
- 评估这种干预措施的可行性和成本效益,以提高青少年性健康查提供者能力.
主要方法:
- 一个涉及四个学校健康中心和一个学校关联中心的多站点倡议.
- 一个双相干预,包括先进实践提供者的教育和EHR修改.
- 从2018年到2021年对2,102名独特的患者 (9-24岁) 的回顾性医学表格审查,以比较干预前后查率.
主要成果:
- 干预后观察到青少年性活动查率显著增加 (所有p < .001).
- 与干预前一年相比,查的可能性增加了一倍以上.
- 该干预措施对提供者进行查的意愿和能力产生了显著的积极影响.
结论:
- 提供者教育和EHR修改策略是一种可行且具有成本效益的方法,可以增强青少年性健康查.
- 这一举措成功地提高了初级保健机构中青少年基本预防性健康服务的比例.
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