一个两代,幼儿早期高级初级保健模式
Mary McCord1, Arthur Fierman2, Sarah Sisco1
1New York City Health+Hospitals, New York.
Pediatrics
|March 6, 2024
概括
3-2-1 IMPACT模型整合了儿科初级保健服务,以满足儿童和家庭的需求,旨在减少健康差异. 这种方法通过应对社会和心理健康挑战来支持儿童的长期健康和发展.
科学领域:
- 儿童健康 儿童健康
- 公共卫生 公共卫生
- 医疗保健提供系统
背景情况:
- 幼儿时代的经历显著影响长期健康,但与贫困和种族主义相关的差异阻碍了潜在的发展.
- 现有的儿科初级保健 (PPC) 模式往往是孤立的,缺乏可扩展性和可持续性来满足综合需求.
- 一个庞大的公共医疗保健系统提供了一个整合幼儿发展服务的机会.
研究的目的:
- 描述 3-2-1 IMPACT (父母和孩子在一起的综合模式) 倡议.
- 改变纽约市卫生+医院内的儿科初级保健 (PPC) 服务.
- 解决幼儿时期儿童和家庭需求的全方位.
主要方法:
- 利用频繁的PPC接触和与产前服务联系.
- 评估家庭的心理,社会和身体健康需求.
- 提供基于证据的育儿支持和综合心理健康服务.
主要成果:
- 该模型将多种干预措施整合到PPC和产前护理中.
- 联盟建设和宣传对于启动和维持该模式至关重要.
- 对于长期可持续性的先进支付模式取得的进展.
结论:
- 将干预措施整合到大型公共医疗保健系统中可以产生协同效应.
- 影响模型旨在改善儿童和母亲健康结果.
- 这种综合方法有可能对健康差异产生积极影响.
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