标准化和改进以初级保健为基础的电子发育查小孩在联邦合格卫生中心诊所的标准化和改进
Gladys Felix1,2, Alexis Deavenport-Saman3,4, Sophia Stavros1,2
1Division of General Pediatrics, Children's Hospital of Los Angeles, 4650 Sunset Blvd, MS #76, Los Angeles, CA, 90027, USA.
Maternal and child health journal
|August 12, 2024
概括
在联邦合格卫生中心 (FQHC) 实施电子发育查工具显著提高了查率,并确定了更多面临发育迟缓风险的儿童. 这种数字化方法有助于克服资源不足社区的障碍.
科学领域:
- 儿科健康 儿科健康
- 医疗信息学 医疗信息学
- 发育儿科 发育儿科
背景情况:
- 发展查对于早期发现延迟和自闭症谱系障碍 (ASD) 至关重要,特别是在资源不足的社区.
- 在初级保健机构中,有效实施发育查的障碍仍然存在.
- 早期干预 (EI) 转诊对于发现有发展问题的儿童至关重要.
研究的目的:
- 评估使用电子查工具的标准化临床工作流是否改善了发育查率.
- 评估实施是否增加了在联邦合格卫生中心 (FQHC) 识别面临发育迟缓风险的儿童.
主要方法:
- 一项回顾性研究在与学术相关的FQHC进行.
- 电子版本的年龄和阶段问卷3 (ASQ-3) 和修改的自闭症小孩检查清单修订 (M-CHAT-R) 被整合到健康儿童的访问中.
- 工作人员接受了关于发展查和EI转介的新工作流程的培训.
主要成果:
- 干预后的ASQ-3查率从62.7%上升到73.6%.
- 在儿童中,发现ASQ-3结果低于切线值的儿童显著增加 (14.7%至18.2%).
- M-CHAT-R查率从56.4%增加到59.4%,电子屏幕使用率显著增加.
结论:
- 电子查工具有效地提高了FQHC环境中的普遍发育查.
- 数字工具可以减轻纸质方法常见的查错误,从而有可能改善在资源不足地区识别有风险的儿童.
- 这种方法支持更好的发育监测和及时的EI转诊.
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