从产后到初级保健的便利过渡后1年内使用初级保健
Arlin Delgado1, Pichliya Liang, Tierra Bender
1Department of Obstetrics and Gynecology and the Department of Medicine, Massachusetts General Hospital, Harvard Medical School, the Department of Medicine, Brigham and Women's Hospital, and the Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
一项行为干预改善了患有慢性疾病的妇女分娩后初级保健参与度. 该研究发现,在一年内,增加了年度考试和总体检查,增强了长期健康管理.
科学领域:
- 产科和妇科 产科和妇科
- 初级医疗保健医学 一级医疗保健医学
- 行为科学 行为科学
背景情况:
- 对于患有慢性或与怀孕有关的疾病的人来说,促进从产后护理过渡到初级护理至关重要.
- 有效的产后护理对于管理与某些怀孕相关的长期健康风险至关重要.
研究的目的:
- 评估一种基于行为科学的干预措施对产后一年内初级保健利用率的影响.
- 评估干预措施对高风险产后个体的年度检查和健康查的影响.
主要方法:
- 随机对照试验的二次分析,将行为干预与例行护理进行比较.
- 干预包括默认安排和提醒初级保健医生 (PCP) 访问.
- 主要结局是在分娩后一年内参加年度检查或健康维护访问.
主要成果:
- 干预组显示,一年内每年进行PCP检查的比例 (59.0%对39.3%) 和任何PCP访问的比例 (72.8%对61.3%) 显著上升.
- 干预组中接受心理健康障碍查的比例较高 (63.9%对55.5%).
- 在其他类型的查中没有发现显著差异.
结论:
- 一个简单的,低成本的干预措施有效地促进了产后到初级保健的过渡.
- 该干预表明,在产后第一年内,初级保健从业人员的参与带来了持续的好处.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
08:13Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
相关概念视频
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Discharge Summary Forms
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Patient-centered Care
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Methods of Documentation II: POMR
