全国对儿科后急性护理设施的调查
Nadine Straka1,2, Urbano L França1,2, Jennifer D Franks1
1Division of Critical Care, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, MA.
概括
儿科急性后护理 (PAC) 设施很少,在美国分布不均. 这项研究绘制了这些关键的儿科PAC资源,以了解供应挑战.
科学领域:
- 医疗保健的获取和提供.
- 儿科卫生保健服务 儿科卫生保健服务
- 医疗服务研究 医疗服务研究
背景情况:
- 对于有复杂医疗需求的儿童来说,急性后护理 (PAC) 是必不可少的.
- 了解儿科PAC的地理分布对于公平获取至关重要.
- 目前关于儿科PAC设施可用性的数据有限.
研究的目的:
- 识别和地理定位美国所有儿科急性后护理设施.
- 描述这些设施提供的服务.
- 为分析儿科PAC供应提供基础数据集.
主要方法:
- 在全国范围内进行了横截面调查.
- 在线资源和电话查询被用于数据收集.
- 国家监管机构和CMS数据被利用来确定护理场所.
主要成果:
- 调查了1355个设施;18.6%是儿科专用或接受的儿科患者.
- 在39个州确定了109个专门用于儿科的设施.
- 发现了显著的地理差异,11个州缺乏任何专门的儿科PAC.
结论:
- 在美国,儿科急性后护理设施的可用性稀少且分布不公平.
- 一个互动地图和这些设施的数据库已经开发.
- 这个资源可以为未来的研究提供信息,以了解儿科PAC供应对患者结果的影响.
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