为什么5岁以下的孩子去兰贝斯的全科医生:一个横截面研究
Eleanor May Craven1, Gemma Luck2, David Whitney3
1Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
BMJ open
|May 28, 2024
概括
上呼吸道感染,湿疹和咳是5岁以下儿童接受初级保健的最常见原因. 贫困地区和某些族群的儿童更频繁地参加,这凸显了解决健康决定因素的必要性.
科学领域:
- 儿科 儿科 儿科
- 主要护理医学 医疗保健
- 公共卫生 公共卫生
背景情况:
- 初级保健服务对于儿童健康监测和管理至关重要.
- 了解幼儿初级保健出勤模式对于资源分配和健康促进至关重要.
研究的目的:
- 为了确定5岁以下儿童在初级保健中出院的最常见原因.
- 分析根据年龄,种族,性别和贫困程度提出投诉的差异.
- 调查与频繁的初级保健出勤相关的因素.
主要方法:
- 通过在伦敦兰贝斯 (Lambeth) 的39家全科医院的数据进行了一项横截面研究.
- 该研究分析了2017年4月至2020年3月期间22189名5岁以下儿童的记录.
- 使用多变量逻辑回归来确定频繁出勤的预测因素.
主要成果:
- 出勤的前三大原因是上呼吸道感染 (14%),湿疹 (8%) 和咳 (7%).
- 最贫困地区的儿童 (调整后赔率率[AOR]1.27) 和印度 (AOR1.47),孟加拉 (AOR2.70) 和其他白人 (AOR1.18) 族裔的儿童更有可能成为频繁的出席者.
- 虽然存在差异,但前九个条件占所有患者相互作用的50%以上.
结论:
- 大多数初级保健小孩的访问是急性,自我限制的条件.
- 增加对社区护理服务的访问,如药房,可以管理这些条件中的一些.
- 解决更广泛的健康社会决定因素对于减少医疗保健障碍和改善弱势群体的结果至关重要.
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