改善在学术初级保健中心获得早期发育评估的机会
Zeina M Samaan1, Pamela Williams-Arya2, Kristen Copeland1
1From the Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OHIO.
Pediatric quality & safety
|January 13, 2025
概括
对于发育障碍 (DDs) 的早期干预至关重要. 一个新的安排过程使 3-5 岁儿童在 90 天内完成发育评估的比例翻了一番,改善了对护理的准入.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 发育障碍 (DDs) 影响美国6分之一的儿童,早期识别和治疗显著改善了结果.
- 在DD诊断的差异导致在关键的神经可塑性时期不平等地获得关键的发展服务.
- 为及时诊断和干预,改善学龄前儿童 (3-5岁) 获得发育评估的机会至关重要.
研究的目的:
- 为3-5岁的经历发育迟缓的儿童提供发育和行为儿科 (DBP) 诊所的服务.
- 在90天内安排并完成首次DBP访问的儿童的百分比从20%增加到40%.
主要方法:
- 使用了健康改善研究所的模型,包括故障模式和效应分析,关键驱动图和计划-做-研究-行动周期.
- 在一般儿科诊所和DBP利益相关者之间实施了一种加快的,协作性的转诊和安排过程.
- 整合了额外的干预措施,如提醒通知和错过预约的呼叫.
主要成果:
- 预定并在90天内完成首次DBP访问的转诊患者的百分比从20%增加到40%.
- DBP临床医生确定了患有全球发育迟缓和/或自闭症谱系障碍的儿童进行进一步的专业测试.
- 质量改进倡议成功改善了对发展评估的准入.
结论:
- 质量改进方法,专注于医疗院内的灵活安排,可以有效地改善对发育评估的准入.
- 这种方法解决了差异,并确保及时诊断和治疗学龄前儿童的发育迟缓的风险.
- 改善对DBP服务的访问,为幼儿及其家人提供了更好的发展成果.
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