对于患有心血管疾病的儿童,神经发育和心理社会接触的速度和设置
James C Bohnhoff1,2, Anya Cutler2, Julia Price3
1Department of Pediatrics, MaineHealth, Portland, ME, USA.
Cardiology in the young
|December 6, 2024
概括
在缅因州,大多数患有复杂先天性心脏病 (CHD) 的儿童在外科手术中心接受神经发育和社会心理护理. 这些发现强调了需要更好地整合社区服务,以改善儿科心脏病护理结果.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 神经发育儿科 神经发育儿科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在北美,不到30%的患有复杂先天性心脏病 (CHD) 的儿童接受推的神经发育和心理社会后续护理.
- 虽然手术中心的后续护理有记录,但这些专业中心以外的服务仍未得到充分研究.
研究的目的:
- 调查缅因州复杂心血管疾病儿童使用发展和心理社会服务的情况.
- 确定所接受的服务类型以及复杂心血管疾病儿童所获得这些服务的地点.
主要方法:
- 一项使用缅因州卫生数据组织2015年至2019年所有付款人索赔数据的队列研究.
- 识别患有复杂心血管疾病的0-18岁儿童,并分析他们的发育和心理社会相关的医疗保健经历.
- 将遭遇分类为发展,心理,神经心理测试,心理健康干预和健康/行为评估.
主要成果:
- 在799名患有复杂性心血管疾病的儿童中,有23%的儿童至少经历过一次发育或心理社会遭遇.
- 只有1.6%的这些儿童在手术中心接受护理;大多数服务是在社区诊所,州计划或医院附属诊所获得的.
- 服务利用因类型而异:发育测试发生在各种环境中,心理健康干预主要在社区诊所进行,健康/行为评估主要在医院诊所进行.
结论:
- 在缅因州,患有复杂心血管疾病的儿童在外科手术中心以外的不同地点获得必要的发育和心理社会服务.
- 先天性心脏病中心应促进与外部提供者的合作,以加强对儿科患者的神经发育的支持.
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