父母什么时候报告孩子的行政性ADHD诊断? 来自INTEGRATE-ADHD财团项目的基于利用的分析
Stefan Pfeifer1, Ann-Kristin Beyer1, Lilian Beck1
1Robert Koch Institute, Department of Epidemiology and Health Monitoring, Berlin, Germany.
Journal of health monitoring
|October 16, 2024
概括
在儿童的行政和家长报告之间,注意力缺陷/多动症 (ADHD) 诊断的差异与医疗保健利用模式有关. 了解这些差异对于准确的ADHD诊断和护理至关重要.
科学领域:
- 儿科健康 儿科健康
- 心理健康服务研究 心理健康服务研究
- 流行病学 流行病学
背景情况:
- 检查德国儿童和青少年注意力缺陷/多动症 (ADHD) 诊断中的差异.
- 利用相关的行政和家长报告的调查数据来了解医疗保健的使用情况.
研究的目的:
- 调查与行政记录相比,调查数据中导致ADHD诊断报告不足的因素.
- 分析医疗保健利用模式与家长报告ADHD诊断之间的关联.
主要方法:
- 调查了5,461名儿童 (0-17岁) 的父母,这些孩子被行政诊断为ADHD (ICD-10 F90.0-9).
- 分析有关ADHD诊断和医疗保健提供者的使用情况的行政和家长报告的数据.
- 使用双变量和多变量统计分析来比较数据源.
主要成果:
- 在儿科护理机构中,ADHD诊断的频率更高.
- 心理健康专业人员的诊断 (OR=2.78) 和利用 (OR=2.99) 预测了父母在行政和调查数据中的报告.
- 职业治疗的使用与父母诊断报告在两个数据源相关.
结论:
- 在调查中,家长对行政性多动症诊断的不报告部分是由医疗保健利用特征解释的.
- 医疗保健利用模式是理解行政和家长报告的ADHD诊断之间的差异的关键因素.
- 调查结果强调了在解释儿童多动症调查数据时考虑服务利用的重要性.
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