识别有复杂需求儿童的家庭:综合护理系统的细分模型
Roberta Piroddi1, Andrea Astbury2, Wesam Baker3
1Department of Public Health Policy and Systems, University of Liverpool, Brownlow Street, Liverpool, L69 3GF, UK. rpiroddi@liverpool.ac.uk.
BMC health services research
|January 28, 2025
概括
一个新的模式确定了英国有复杂需求的家庭,帮助综合健康和社会护理. 这种方法针对高需要的家庭来改善对儿童的支持和打破逆境的循环.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 社会政策 社会政策 社会政策
背景情况:
- 在英国,童年逆境正在上升,复杂的健康和社会问题聚集在高需要的家庭中.
- 现有的服务往往无法有效地支持整个家庭单位.
- 家庭级别的细分被提出作为一种识别需要综合支持的家庭的方法.
研究的目的:
- 开发一个细分模型来识别具有表现出复杂,跨部门需求的儿童家庭.
- 将该模型作为卫生和社会护理服务的案例寻找工具.
- 标识家庭的特征,以告知服务整合战略.
主要方法:
- 与利益相关者合作,确定服务整合的复杂需求,重点关注高强度使用和同时出现的身体/精神健康问题和社会风险.
- 在多个健康和社会护理服务中利用了链接的个人和家庭数据.
- 开发了一个用于案例查找接口的算法,并使用描述统计和Poisson回归进行分析和比较.
主要成果:
- 确定了21527个家庭 (8%的地区人口) 具有复杂的需求,包括89631个人,其中包括41382名儿童.
- 这些家庭占有34%的总健康和社会护理费用为有孩子的家庭 (£362万).
- 精神健康问题很普遍,经常伴随呼吸系统问题,以及大量的紧急心理健康服务使用,特别是在青少年女孩中.
结论:
- 开发的模型可以作为一种有价值的工具来识别符合综合服务和有针对性的家庭支持的家庭.
- 这种方法可能会破坏逆境的代际传播.
- 强调了与这些复杂需求在卫生和社会护理系统中的重大成本负担.
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