父母健康素养和急性护理在患有医疗复杂性的儿童中的利用
Emily J Goodwin1,2,3, Isabella Zaniletti4, Joy Solano1,2,3
1Children's Mercy Kansas City, Kansas City, Missouri.
Hospital pediatrics
|September 23, 2024
概括
父母的健康素养影响了医疗复杂性的儿童的医疗保健费用. 虽然整体识字率与利用率无关,但需要医疗材料的帮助显著增加了紧急情况和住院费用.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 卫生识字研究 研究 卫生识字研究
- 医疗保健经济学 医疗保健经济学
背景情况:
- 健康素养显著影响健康决策和结果.
- 健康素养不足与健康差异和医疗保健利用率的增加有关.
- 患有医疗复杂性 (CMC) 的儿童经常使用急症护理服务.
研究的目的:
- 调查家长的健康素养与急症护理利用率和医疗复杂性的儿童的费用之间的联系.
- 确定家长理解健康材料的能力是否会影响CMC的医疗保健支出.
主要方法:
- 一项涉及CMC接受初级保健的家长的横截面研究.
- 使用单项识字选器评估家长的健康素养.
- 急性护理利用率 (ED访问,住院) 和成本是主要结果.
主要成果:
- 总体而言,不充分的健康素养与急性护理利用率或成本无关.
- 然而,CMC的家长需要医疗材料的帮助,导致ED和住院费用大幅增加.
- 敏感性分析显示,这些家庭的ED费用增加了188%,住院费用增加了126%.
结论:
- 仅仅父母的健康素养不足与CMC急性护理使用的增加没有相关性.
- 父母阅读健康材料所需的帮助与CMC的医疗保健成本大幅增加有关.
- 建议进行进一步的多中心研究以验证这些发现.
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