患有喘的青少年的医疗保健过渡率和相关因素
Mindy K Ross1, Anna-Barbara Moscicki1, Kosuke Kawai2
1Department of Pediatrics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, Calif.
The journal of allergy and clinical immunology. Global
|December 9, 2024
概括
只有19%的喘青少年接受了医疗保健过渡 (HCT) 准备. 诸如提供者参与和护理计划等因素增加了HCT暴露,突出了解决喘青少年过渡护理差异的需要.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 青少年医学 青少年医学
- 喘管理 喘管理
背景情况:
- 患有喘的青少年和年轻人在从儿科到成人服务的医疗保健过渡 (HCT) 期间面临重大风险.
- 尽管制定了指导方针,但在临床实践中缺乏对这些人进行一致的HCT准备.
- 在患有喘的青少年中,暴露于过渡期准备的患病率在很大程度上是未知的.
研究的目的:
- 为了确定美国喘青少年中HCT暴露率.
- 在这个人群中识别与接受HCT暴露相关的特征.
- 分析来自全国代表性调查的数据,以了解HCT准备情况.
主要方法:
- 利用了2020-2021年全国儿童健康调查的数据.
- 包括12至17岁的青少年,被诊断患有喘.
- 采用单变量分析和多变量后勤回归来探索社会人口统计学,与健康相关的和提供者实践变量和HCT暴露之间的关联.
主要成果:
- 在该队列中,只有19%的患有喘的青少年符合HCT暴露的标准.
- 与HCT暴露的积极关联包括年龄较大,女性性别,提供者参与健康选择,书面过渡护理计划,常规预防护理和保险讨论的护理人员支持.
- 西班牙裔种族,缺乏保险和城市居住与较低的HCT暴露率有关,但在多变量分析中并不显著.
结论:
- 调查结果强调了喘青少年过渡期护理准备的关键差距.
- 显著需要改善HCT服务,以确保这个弱势群体获得更好的结果.
- 解决社会人口差异和改善医疗保健准入对于增强患有喘的年轻人的过渡期护理至关重要.
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