医疗家庭护理儿童的聋和听力问题
Inderpreet Kaur Khalsa1, Dylan K Chan2
1School of Medicine, University of California, San Francisco, San Francisco, California.
Pediatrics
|September 13, 2024
概括
对于患有耳聋或听力问题 (DHH) 的儿童来说,医疗家庭护理不太常见,尽管努力改善早期听力检测和干预 (EHDI). 差异仍然存在,这凸显了需要在系统层面进行改进,以在医疗家庭护理模式 (MHMOC) 中支持DHH儿童.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国儿科学会 (AAP) 自2001年以来一直推广医疗家庭护理模式 (MHMOC),以加强早期听力查,诊断和干预 (EHDI),并减少聋或听力问题 (DHH) 的儿童的差异.
- 美国MHMOC的具体组成部分及其对美国DHH儿童的应用中的潜在差异尚未全面确定.
研究的目的:
- 确定MHMOC的范围和组成部分,用于患有DHH的儿童.
- 确定美国患有DHH的儿童在MHMOC中的差异.
- 分析听力问题与MHMOC复合物及其组件之间的关联.
主要方法:
- 来自2016-2020年全国儿童健康调查数据的分析 (N=174,551).
- 包括队列:患有DHH的儿童 (N=12,121),没有DHH的儿童 (N=171,523) 和其他特殊健康需求 (SHCN) 的儿童 (N=38,722).
- 应用单变量统计和多变量逻辑回归来评估关联和差异.
主要成果:
- 与没有DHH的儿童相比,患有DHH的儿童在家庭医疗护理的可能性较小 (aOR=0.74),即使调整了社会人口统计因素.
- 与其他SHCN儿童相比,患有DHH和SHCN的儿童接受家庭医疗护理的可能性也较低 (aOR=0.71).
- 在DHH儿童中不太普遍的关键MHMOC组件包括以家庭为中心的护理,简单的转诊和护理协调.
结论:
- 尽管经过数十年的努力,DHH儿童的MHMOC仍然不成比例地低.
- 对于DHH儿童来说,MHMOC的显著差异仍然存在,特别是在以家庭为中心的照顾和照顾协调方面.
- 系统层面的质量改善举措至关重要,以有效地将MHMOC集成到针对DHH儿童的EHDI系统中.
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