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Updated: Jun 19, 2025

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通过211进行幼儿护理协调:随机临床试验
Bergen B Nelson1, Rebecca N Dudovitz2, Lindsey R Thompson3,4
1Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia.
Pediatrics
|July 26, 2024
概括
基于电话的护理协调显著增加了推和入学发展服务和幼儿早期护理和教育的数量. 这种可扩展的解决方案解决了对发育迟缓的及时干预方面的差距.
科学领域:
- 儿童发展 儿童发展
- 公共卫生 公共卫生
- 医疗保健协调部门 医疗保健协调部门
背景情况:
- 早期干预服务对于发育迟缓的儿童至关重要.
- 医疗保健提供者在确保及时转诊和服务获取方面面临挑战.
- 洛杉矶县需要改善发展服务协调.
研究的目的:
- 测试基于电话的照顾协调对幼儿发展的有效性.
- 提高发展服务和早期护理和教育 (ECE) 的推和招生率.
- 评估211LA在这个过程中的作用,它是一个健康和人力服务呼叫中心.
主要方法:
- 进行了一项随机对照试验,涉及12至42个月的儿童.
- 儿童接受了发育查,并通过211 LA通过常规护理或基于电话的护理协调.
- 在6个月后期测量的结果包括父母报告的转诊和发展服务和ECE的入学.
主要成果:
- 干预组显示,发展服务 (25%对16%) 和ECE (58%对15%) 的转诊率显著更高.
- 在干预组中,参与发展服务 (15% vs 9%) 和ECE (26% vs 10%) 的比例也明显高于干预组.
- 调整后的几率比率显示,干预组的转诊和招生均有显著改善.
结论:
- 通过211 LA的电话照顾协调有效地将儿童与发展服务和ECE联系起来.
- 该模型提供了一个可扩展的解决方案,以解决早期干预的差异.
- 改善护理协调可以提高幼儿的发展结果.
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