儿科营养障碍的密集门诊计划:对当前挑战和未来方向的定性研究
Navya Baranwal1, Abby Hodges2, Courtney E Breiner2
1The Warren Alpert Medical School of Brown University, Providence, RI.
Journal of developmental and behavioral pediatrics : JDBP
|September 30, 2024
概括
密集的多学科干预 (IMI) 有效地治疗儿科食障碍 (PFD),但患者的访问受到患者,计划和系统障碍的阻碍. 解决这些挑战对于改善护理至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 发育儿科 发育儿科
- 医疗保健获取研究 医疗保健获取研究
背景情况:
- 密集的多学科干预 (IMI) 对儿科饮食障碍 (PFD) 有好处.
- 访问这些专业的PFD程序是有限的.
- 对于PFD项目所面临的挑战,人们还不太了解.
研究的目的:
- 识别儿童食障碍 (PFD) 密集多学科干预 (IMI) 日间计划中的障碍.
- 检查这些PFD计划中的患者护理差异.
- 确定需要改进的领域,以加强PFD的政策和治疗机会.
主要方法:
- 与美国门诊IMI计划的领导人进行了半结构化采访.
- 收集关于领导者对患者护理差异,计划障碍和未来目标的观点的数据.
- 进行了定性内容分析,以对患者护理,获取和PFD计划和患者障碍的信息进行分类.
主要成果:
- 确定了患者层面的障碍:家庭资源,社会经济地位,地理距离和时间承诺.
- 确定了程序层面的障碍:人员/能力有限,等待时间长.
- 确定了系统层面的障碍:保险覆盖不一致,付款人对PFD和IMI的知识有限.
结论:
- IMI对于PFD是有效的,但患者层面,程序层面和系统层面的因素阻碍了访问和程序的成功.
- 需要进一步的研究,改进补偿和治疗共识陈述.
- 这些改进可以提高PFD护理的获取和覆盖率,支持计划开发和可持续性.
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