评估亚利桑那州儿童视力护理服务网络的充分性:一个横截面研究
Rizwana Biviji1, Nikita Vora2, Nalani Thomas1
1College of Health Solutions, Arizona State University, Phoenix, AZ.
AIMS public health
|April 15, 2024
概括
许多亚利桑那州的儿童面临的障碍是无法获得必要的视力护理. 一项研究发现,儿科视觉网络的充分性存在重大差距,特别是对于那些有医疗补助 (AHCCCS) 的人来说,影响了获得及时和全面服务的机会.
科学领域:
- 儿科眼科医生 儿科眼科医生
- 公共卫生 公共卫生
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 儿童视力挑战是导致残疾的主要原因,影响学习和发展.
- 及时诊断和治疗至关重要,但由于网络不足,获得高质量的儿科视觉护理往往受到限制.
- 确保适当的视力护理网络对于儿童的整体福祉和教育成功至关重要.
研究的目的:
- 评估亚利桑那州儿科视觉护理网络的充分性.
- 在全州范围内确定儿童获得视力护理服务的具体差距.
- 为改善亚利桑那州所有儿童视力护理可获得性的战略提供信息.
主要方法:
- 一项采用"秘密购物者"电话调查方法的横截面研究.
- 他们联系了接受亚利桑那州医疗保健成本控制系统 (AHCCCS) 和商业保险的诊所.
- 该调查评估了提供者目录的准确性,预约可用性,双语服务,服务的年龄段和地理分布.
主要成果:
- 在AHCCCS和商业保险中,预约的平均等待时间为13天.
- 存在很大的障碍,高达74%的诊所不为患有AHCCCS的儿童提供服务.
- 不到一半 (41%) 的诊所为5岁及以下的幼儿提供服务.
结论:
- 这些发现突显了亚利桑那州儿科视力护理网络充足性的严重缺陷.
- 迫切需要加强接入,特别是对服务不足的人群,包括种族/族裔少数群体,低收入家庭和农村居民.
- 提高网络的充分性对于确保所有儿童平等获得关键视觉服务至关重要.
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