临床人员应对不良童年经历 (ACE) 查的行动
J Scott Ashwood1, Nipher Malika1, Stephanie Williamson1
1RAND Corporation, Santa Monica, CA USA.
Preventive medicine reports
|September 25, 2024
概括
当有不良童年经历 (ACE) 时,临床医生记录的行为是存在的两倍. 随着ACE分数的提高,转诊显著增加,这表明ACE查对患者护理产生了影响.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 童年不良经历 (ACE) 显著影响长期健康和预期寿命.
- 了解临床医生对ACE查的反应对于儿童福祉至关重要.
- 关于在ACE查后临床医生采取的具体行动的数据有限.
研究的目的:
- 在儿科诊所检查临床医生对ACE查的反应.
- 在ACE查后,确定影响临床医生的行动的因素.
- 评估ACE得分和记录的临床医生反应之间的关联.
主要方法:
- 从2,652个查中收集了患者人口统计,健康的社会决定因素和ACE分数的数据.
- 利用多重后勤回归来分析ACE和临床医生的反应之间的关联.
- 数据是从2021年5月到10月收集的,来自加利福尼亚州的五家儿科诊所.
主要成果:
- 当ACE存在时,临床医生记录了一次行动的频率是ACE的两倍 (OR=2.2,p<0.0001).
- 转介到心理健康,社会工作和社区资源的可能性是ACE分数增加的三倍 (OR=3.2,p<0.0001).
- 行动的临床文档与ACE查结果有关.
结论:
- ACE查与临床医生记录的患者护理行动有关.
- 研究结果表明,ACE查影响临床决策和干预措施.
- 需要进一步的研究才能充分了解ACE查对儿科健康结果的影响.
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