实施一个临床综合的母乳养同行辅导员计划.
Lauren S Keenan-Devlin1, Janel Y Hughes-Jones2,3, Tricia Johnson4
1Department of Obstetrics and Gynecology, NorthShore University HealthSystem; University of Chicago Pritzker School of Medicine, Evanston, IL, USA. lkeenan-devlin@northshore.org.
概括
一个新的临床整合的母乳养同行咨询 (ci-BPC) 计划改善了公共保险患者的母乳养率. 这种基于证据的方法提高了母乳养的强度和持续时间,解决了健康差异.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 孕产妇和儿童的健康
背景情况:
- 2015年,北岸社区卫生中心 (NSCHC) 的公共保险患者与商业保险患者相比,母乳养率较低,反映了美国更广泛的差异.
- 哺乳差异需要有针对性的干预措施来改善母亲和婴儿的健康结果.
研究的目的:
- 描述一个临床整合的母乳养同行咨询 (ci-BPC) 计划的设计和实施.
- 解决NSCHC公共保险患者母乳养率的差异.
主要方法:
- 用复制有效程序框架来设计和实施程序.
- 整合了患者重点小组和调查,以告知程序开发.
- 建立多学科的临床支持团队,将母乳养同行辅导员 (BPC) 纳入临床和产后工作流程.
主要成果:
- 通过全面支持,ci-BPC计划提高了母乳养的强度和持续时间.
- 为所有NSCHC患者提供产前哺乳教育,住院哺乳护理和按需产后支持.
- 证明了潜在的成本节约,每名患者的总成本从297美元到386美元不等,这导致了该计划的可持续性.
结论:
- 基于证据的多学科合作成功创建了一个可持续的ci-BPC计划.
- 实施的计划有效地改善了母乳养的结果,并解决了健康差异.
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