在悉尼儿童医院网络提供儿童健康服务 (PEACH) 的增强访问:一个研究协议
Karen Zwi1,2, Safa Majidi3, Jahidur Rahman Khan2
1Sydney Children's Hospitals Network Randwick, Randwick, New South Wales, Australia karen.zwi@health.nsw.gov.au.
BMJ open
|March 23, 2025
概括
提供改善儿童健康服务 (PEACH) 项目旨在减少澳大利亚儿童和青少年优先人口的健康不平等. 通过实施学习健康系统,PEACH旨在为所有儿童实现公平的健康成果.
科学领域:
- 儿童健康服务 儿童健康服务
- 健康 公平 卫生 公平
- 质量改进项目 质量改进项目
背景情况:
- 来自澳大利亚优先人口的儿童和青少年 (CYP) 在获得医疗保健和健康结果方面面临重大不平等.
- 优先人口包括土著和/或托雷斯海峡岛民CYP,文化和语言多样性的CYP,难民/寻求庇护者,在家外照顾的人,以及残疾人CYP.
- 这些差异凸显了有针对性的干预措施的必要性,以确保健康生活的公平机会.
研究的目的:
- 实施一个全组织的质量改进项目,为儿童健康服务 (PEACH) 提供更好的访问.
- 与其非优先类同行相比,在优先级CYP群体中实现同等的健康结果.
- 在一个主要的三级儿科卫生服务中创建一个以公平为重点的学习健康系统.
主要方法:
- 使用电子医疗记录 (eMR) 数据和定性方法,包括采访,调查和共同设计研讨会.
- 吸引五个优先人口咨询小组,包括员工和服务用户,以指导研究和干预设计.
- 将实施前和后 (2015-2027) 的健康准入和结果措施与基线数据和国家控制进行比较.
主要成果:
- 该PEACH项目旨在识别健康不平等,并为改善识别和获得服务的干预提供信息.
- 分析医疗获取和结果措施 (例如住院,重症监护入院) 将用于推动持续学习.
- 仪表板将可视化数据,以支持持续的质量改进,并减少护理中的不平等.
结论:
- 该PEACH项目采用了全面的方法来解决儿童医疗保健中的系统不平等问题.
- 持续学习和数据驱动的洞察力是实现所有儿童平等健康成果的核心.
- 调查结果将向利益相关者传播,以促进更广泛地采用有效策略.
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