与年轻成年人初级保健过渡有关的多层次因素:来自国家全付款人索赔分析的证据
Sarah A Nowak1, Maija Reblin2, Mark Fung2
1Larner College of Medicine, University of Vermont, 89 Beaumont Ave, Burlington, VT, 05405, USA. Sarah.nowak@med.uvm.edu.
从儿科到成人初级保健的延迟过渡与家庭关系和县的能力有关. 了解这些因素对于改善年轻人获得医疗保健至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 儿科 儿科 儿科
背景情况:
- 从儿科到成人初级保健的延迟过渡可能会在年轻成年人的医疗保健中造成重大差距.
- 有效的护理过渡对于医疗保健的连续性和质量至关重要.
- 多层次因素影响了这些过渡的成功.
研究的目的:
- 评估与及时从儿科到成人初级保健过渡相关的多层次因素.
- 在年轻人中识别成功的护理过渡的障碍和促进者.
- 为改善医疗保健连续性的政策提供信息.
主要方法:
- 利用了17-20岁的4320名患者队列的州全付款人索赔数据.
- 建立了初级保健提供者网络,以确定家庭联系.
- 使用后勤回归来分析影响过渡的家庭,提供者和县级因素.
主要成果:
- 男性的性别与过渡到成人初级保健的几率较低有关.
- 家庭成员去看儿科医生也与更低的过渡率相关.
- 居住在具有高儿科护理能力或低成人初级护理能力的县,减少过渡几率.
结论:
- 家庭与儿科护理的联系和强大的县级儿科护理能力与未过渡到成人初级护理有关.
- 不同级别的多种因素导致过渡到成人初级保健的挑战.
- 了解这些因素对于制定有效的州和国家政策来支持护理过渡至关重要.
更多相关视频
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
08:13Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
相关概念视频
Factors Affecting Illness
For instance, risk factors are connected to illness,...
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Lifestyle Factors and Health
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Traditional Level Of Health Care System
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
Dimensions of Health and Illness
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
