建立一个区域儿科喘学习健康系统,以支持最佳,公平的结果
Andrew F Beck1,2,3,4,5,6, Michael Seid3,6,7, Karen M McDowell6,7
1Division of General & Community Pediatrics Cincinnati Children's Cincinnati Ohio USA.
Learning health systems
|April 18, 2024
概括
一个喘学习健康系统 (ALHS) 已开发,以协调区域儿科喘护理. 该系统旨在公平地减少喘住院,解决对年轻人的护理差异.
科学领域:
- 儿科喘管理 儿科喘管理
- 卫生系统科学 卫生系统科学
- 健康 公平 研究 健康 公平 研究
背景情况:
- 喘导致显著的发病率,成本和不公平,特别是在儿科患者中.
- 现有的区域性喘改善活动往往是分散的,缺乏协调.
- 迫切需要一个结构化的系统来改善喘护理的提供.
研究的目的:
- 开发一个喘学习健康系统 (ALHS) 协调区域儿科喘改善.
- 为一个更公平,更有效的喘护理系统提供见解.
- 建立一个共同的区域目标,以减少与喘相关的住院治疗.
主要方法:
- 利用电子健康记录数据来确定儿科喘住院率.
- 进行了环境扫描,以确定现有的区域性喘相关工作.
- 通过小组评估和与利益相关者聚焦小组收集定性见解.
主要成果:
- 大辛辛那提的年轻人患喘住院的情况是美国平均水平的三倍.
- 与非黑人青年相比,黑人青年面临的住院率是非黑人青年的五倍.
- 在区域范围内存在许多与喘相关的不连接的活动,这凸显了协调的必要性.
结论:
- 学习卫生系统的方法非常适合解决儿科喘的复杂性.
- 开发的ALHS为实现区域性喘结果的公平改善提供了一个框架.
- 早期干预侧重于数据分析,多学科合作,以及解决健康的社会决定因素.
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