在NICU毕业生中,社会需求和医疗保健利用率
Cecile L Yama1,2, Rachel G Greenberg3,4, Erika Johnson4
1UCLA National Clinician Scholars Program, Los Angeles, CA, USA. cyama@mednet.ucla.edu.
概括
从新生儿重症监护室 (NICU) 出院的有社会需求的婴儿经历了更多的住院治疗和错过预约. 在NICU的后续护理中解决这些社会需求可以改善预防性护理并降低医疗保健成本.
科学领域:
- 新生儿护理 新生儿护理
- 医疗保健中的差异
- 健康的社会决定因素
背景情况:
- 在新生儿重症监护室 (NICU) 退院后,未计划的医疗保健利用对家庭和医疗保健系统构成挑战.
- 社交需求对NICU后医疗保健利用的影响仍未得到充分研究.
研究的目的:
- 为了确定NICU毕业生之间的社会需求.
- 检查确定社会需求与NICU后医疗保健利用之间的关联.
主要方法:
- 一项前性队列研究涉及112名2021-2022年NICU毕业生.
- 社会需求查和医疗保健利用跟踪在NICU随访诊所进行.
- 非参数统计试验分析了社会需求与医疗保健利用之间的关联.
主要成果:
- 在接受查的婴儿中,有18% (112名婴儿中有20人) 至少有一种社会需求.
- 具有社会需求的婴儿的住院率显着更高.
- 在具有社会需求的婴儿中,观察到更高的整体医疗保健遭遇和错过的预约.
结论:
- 社会需求与未计划的医疗保健利用率增加和NICU毕业生中错过的预约有显著的关联.
- 将社会需求评估和支持纳入NICU后续护理可以提高预防性护理出席率.
- 解决社会需求可能会减少计划外的医疗保健使用,改善弱势婴儿的结果,并节省医疗保健成本.
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