开发一个结果指标框架,用于使用例行收集的数据进行全民健康访问计划
Margaret Horne1, Louise Marryat2,3, D Helen Corby1
1Salvesen Mindroom Research Centre, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
BMC health services research
|June 14, 2024
概括
苏格兰开发了一种新的全民健康访问途径 (UHVP),以改善儿童健康. 使用常规数据创建了一个指标框架,以评估其有效性,重点关注儿童发展的关键结果.
科学领域:
- 公共卫生 公共卫生
- 儿童发展 儿童发展
- 医疗保健政策 医疗保健政策
背景情况:
- 一个多世纪以来,全民健康访问一直是英国预防性医疗保健的关键组成部分.
- 苏格兰在2016年实施了一项新的全民健康访问途径 (UHVP),强调早期家庭访问和发育评估.
- 开发了一个结果指标框架,以使用常规行政数据评估UHVP.
研究的目的:
- 描述一个结果指标框架的发展,用于评估苏格兰的全民健康访问途径 (UHVP).
- 在不断发展的医疗访问服务的背景下,建立一个监测儿童健康结果的系统.
主要方法:
- 与利益相关者一起创建了一个逻辑模型,以定义结果领域.
- 通过利益相关者讨论和数据检查,这些措施得到了改进.
- 进行了功率计算,并描述了选定的指标的初始数据.
主要成果:
- 在8个结果领域中选择了18个指标,包括父母吸烟,母乳养,免疫,牙健康,发育问题,肥胖,事故/伤害和儿童保护.
- 数据质量不同;审查覆盖率高 (>90%),但个别项目完成程度不同 (例如,6-8周的母乳养数据:92.2%,27-30个月的BMI:63.2%).
- 结果的发病率范围很广,从儿童保护登记的1.3%到两岁时接受所有免疫接种的93.6%.
结论:
- 常规收集的数据被用来开发一组评估UHVP的指标,最大限度地减少参与者负担和响应偏差.
- 开发的指标框架支持在不断发展的健康访问计划中评估儿童结果的变化.
- 建议进行进一步的研究,以评估该指标框架对不同环境的可转移性.
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