在社区初级保健诊所的积极发育查后,早期干预推的预测因素
Mohadeseh Solgi1, Catrina Calub2, Alicia Feryn3
1School of Medicine (M Solgi, A Hoang), Div. General Pediatrics, Oregon Health and Science University (OHSU), Portland, Ore.
Academic pediatrics
|October 12, 2024
概括
大多数有积极发育查的幼儿没有从初级保健医生那里获得早期干预转诊. 转诊决定受到特定查测试成绩的影响,而不是儿童或提供者人口统计数据,突出显示了护理方面的差距.
科学领域:
- 儿科 儿科 儿科
- 发育儿科 发育儿科
- 公共卫生 公共卫生
背景情况:
- 初级保健医生 (PCP) 不可能仅仅依靠查测试分数来做出发展服务转诊决定.
- 这项研究检查了影响PCP在IDEA第C部分早期干预 (EI) 推送的因素,在积极的发育查后.
研究的目的:
- 为了确定患者,提供者和查测试因素,预测积极的发育查后的EI转诊.
- 了解查测试结果与早期干预服务的实际转诊率之间的差异.
主要方法:
- 对2756名年龄在15-30个月的儿童的医疗记录进行了审查,以查看查测试结果 (ASQ-3,MCHAT-R) 和EI转诊.
- 一项提供者调查收集了PCP特征.
- 多变量逻辑回归分析了转介与各种因素之间的关联.
主要成果:
- 转诊率为MCHAT-R阳性的54%,为ASQ-3查阳性的42%.
- MCHAT-R分数和ASQ-3通信/Gross Motor分数预测了转诊情况.
- 儿童人口统计学 (性别,语言,种族,种族) 和提供者人口统计学并没有预测转诊.
- 在诊所和提供者之间,转诊率存在显著差异.
结论:
- 在COVID-19大流行期间,大多数具有积极发育查的幼儿没有从PCP获得EI转诊.
- 查测试和临床转诊门之间存在差异.
- 某些ASQ-3组件可能不会影响PCP转诊决定,这表明需要医生培训.
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