儿科子专业外展诊所:对获得护理的覆盖范围和影响
James C Bohnhoff1,2,3, Anya Cutler4,5, Sean Hagenbuch6
1Department of Pediatrics, MaineHealth, 1577 Congress St Fl 1, Portland, ME, 04102, USA. james.bohnhoff@mainehealth.org.
BMC pediatrics
|August 10, 2024
概括
儿科子专业外展诊所显著减少了儿童的驾驶时间,特别是在缅因州农村地区. 这些诊所改善了对基本儿科子专业护理的地理接入.
科学领域:
- 儿童获得医疗保健的机会.
- 农村健康差异 农村健康差异
- 对医疗保健服务的地理分析.
背景情况:
- 美国存在儿科子专家短缺,地理位置的差异很大.
- 之前的研究还没有充分考虑外展诊所在评估获得儿科子专家的机会.
- 外展诊所可以改善农村或服务不足地区儿童的接入.
研究的目的:
- 评估儿科子专业外展诊所对缅因州儿童驾驶时间的影响.
- 量化通过外展服务促进儿科子专家旅行时间的减少.
主要方法:
- 使用2022年关于缅因州儿科子专科诊所位置和时间表的行政数据进行横截面研究.
- 估计从邮政编码表格区到最近的子专家的驾驶时间,比较有外联诊所和没有外联诊所的场景.
- 使用2020年人口普查数据,计算整体儿童人口以及城市和农村儿童的驾驶时间的中位数和四分位数范围.
主要成果:
- 缅因州68%的儿科人口 (20岁以下) 更接近外展诊所,而不是主要中心.
- 外展诊所为所有儿童减少了526分钟的平均驾驶时间.
- 由于外展诊所,农村儿童的平均驾驶时间 (1646分钟) 减少了更多.
结论:
- 儿科分专科外展诊所大大减少了前往护理的旅行时间,尤其是农村儿童.
- 在对儿童子专业服务的地理接入研究中,必须考虑外展诊所的利用.
- 政策制定者应该考虑扩大外联诊所,以提高儿童获得医疗保健的机会.
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