在初级保健中对儿科导航计划的评估:以 RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) 框架为指导的定量分析
Mackenzie Stuenkel1, Caitlin Koob2,3, Sarah F Griffin3
1Vanderbilt University Medical Center, Nashville, TN, USA. Mackenzie.stuenkel@vumc.org.
BMC health services research
|December 5, 2024
概括
儿科支持服务 (PSS) 改善了儿童的心理健康服务连接. 程序修改可以进一步优化护理提供和患者的结果.
科学领域:
- 提供儿科医疗保健服务.
- 患者导航程序是患者导航程序.
- 心理健康服务研究 心理健康服务研究
背景情况:
- 儿科支持服务 (PSS) 是一个患者导航计划,旨在克服连接初级保健转诊与卫生系统和社区资源的障碍.
- 本研究评估了使用Reach,Effectiveness,Adoption,Implementation,and Maintenance (RE-AIM) 框架对心理健康服务的PSS的实施情况.
- 该评估旨在确定影响PSS可持续性和交付的因素.
研究的目的:
- 评估精神卫生服务的儿科支持服务 (PSS) 计划的实施情况.
- 在卫生系统中评估计划的覆盖范围,有效性,采用,实施和维护 (RE-AIM).
- 确定优化PSS可持续性和为儿科精神卫生保健提供服务的关键因素.
主要方法:
- 对所有转诊到PSS的患者进行描述性分析,对转诊到精神卫生服务的患者进行初级队列分析.
- 使用电子健康记录,护理人员直接联系和护理人员调查进行数据三角化.
- 在每个RE-AIM框架内进行分析,评估患者,提供者和系统层面的影响.
主要成果:
- 在2019年10月至2023年6月期间,超过11000名独特的患者被转介到PSS,其中年轻的西班牙裔女性占比过高.
- 在3929名转诊为心理健康的患者中,有50.6%的患者连接到服务,有27.1%的患者有待预约.
- 推连接率随着年龄和黑人患者的增长而增加;报告的高满意度与PSS和导航联系.
结论:
- 调查结果建议修改计划,以提高儿童和家庭的护理质量和健康结果.
- 建议包括通过改进的导航流程来优化提供者和诊所的能力.
- 未来的适应,如EHR集成和自动导航,被建议用于综合护理协调.
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