患有慢性复杂疾病的儿童使用医疗服务:一项长度六年随访研究
Bibiana Pérez-Ardanaz1, Laura Gutiérrez-Rodríguez1, María José Pelaez-Cantero2
1Universidad de Málaga, Faculty of Health Sciences, Department of Nursing, Spain; Instituto de Investigación Biomédica de Málaga-Bionand (IBIMA), Spain.
Journal of pediatric nursing
|April 9, 2024
概括
患有复杂慢性疾病的儿童经常使用医疗保健服务,随着时间的推移,使用率会下降. 相关疾病和母亲职业等因素影响医疗保健的获取,突出显示了潜在的护理协调差距.
科学领域:
- 儿科 儿科 儿科
- 医疗保健服务研究 医疗服务研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 患有复杂慢性疾病 (CCC) 的儿童是具有高医疗保健需求的弱势群体.
- 了解医疗保健利用模式对于有效的资源配置和护理规划至关重要.
- 纵向数据对于捕捉CCC群体不断变化的医疗保健需求和趋势至关重要.
研究的目的:
- 分析患有CCC的儿童在医疗保健服务利用模式.
- 调查临床和社会人口因素对医疗保健服务使用的影响.
- 在六年时间内确定医疗保健资源利用趋势.
主要方法:
- 在西班牙进行了为期六年的纵向随访研究 (2015-2021年).
- 包括患有复杂慢性疾病的儿童.
- 使用ANCOVA和多变量线性回归分析医疗保健年度资源使用情况和临床数据.
主要成果:
- 观察到高医疗服务出勤率 (>15次/年),随着时间的推移而下降,特别是在瘤病例中.
- 增加的医疗保健使用与更高的并发症数量,更短的生存时间,息护理单位接触和更高的母亲专业职业相关.
- 在临床/社会人口统计因素和医疗保健系统利用率之间发现了显著的统计关联.
结论:
- 患有CCC的儿童使用医疗保健服务的比例很高,但随着时间的推移而下降,受伴随疾病和社会经济因素的影响.
- 母亲的职业地位是医疗保健频率的决定因素,表明社会经济差异.
- 在护理协调方面存在持续的差距,需要系统和协调的护理模式来解决健康不平等问题.
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