农村学校医疗中心对喘管理的影响
Wendy M Brunner1, Zhuang Han2, Sharon Tennyson3
1Research Institute, Bassett Medical Center, Cooperstown, NY.
The Journal of pediatrics
|November 4, 2024
概括
学校医疗中心 (SBHC) 改善了农村学生的预防性喘护理. 对SBHC的访问增加了推的访问次数,并减少了喘儿童的紧急护理使用.
科学领域:
- 公共卫生 公共卫生
- 儿科医疗保健 儿科医疗保健
- 喘管理 喘管理
背景情况:
- 学校医疗中心 (SBHC) 可以改善学生获得医疗保健的机会.
- 喘是一种常见的慢性疾病,影响到学龄儿童.
- 农村学生经常面临障碍,无法获得一致的医疗保健.
研究的目的:
- 评估SBHC接入对患有喘的农村学生医疗保健利用的影响.
- 测试SBHC接入是否会导致儿童喘患者的预防性护理增加和紧急护理减少.
主要方法:
- 横截面研究分析了纽约州北部农村地区4-19岁学生的医疗保健遭遇.
- 地理编码患者地址到学区,以确定SBHC访问 (15个地区有SBHC,23个没有SBHC).
- 与喘相关的办公室访问,健康儿童访问和SBHC接入和没有SBHC接入的学生之间的紧急/方便护理访问的比较.
主要成果:
- 在SBHC地区的学生有更高的机会获得2+喘诊所访问 (OR=2.23) 和1+健康儿童访问 (OR=1.24).
- 有SBHC接入的学生显示,与呼吸相关的方便护理或急诊室访问的几率较低 (OR=0.45).
- 在使用SBHC的学生与缺乏SBHC接入的地区的学生进行比较时,观察到利用率的最大差异.
结论:
- 获得SBHC与农村学生预防性喘护理国家指南的遵守程度增加有关.
- 在这一群体中,SBHC似乎减少了对急诊室的依赖,并为喘管理提供了方便的护理.
- 在农村学校环境中,SBHC是改善喘护理的宝贵资源.
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