儿童喘专科护理的获取:在农村国家进行的一项调查和地理空间分析
James C Bohnhoff1,2, Dana Schwartz3, Anya Cutler2
1Department of Pediatrics, MaineHealth, Portland, ME, USA.
Journal of asthma and allergy
|March 27, 2025
概括
对于农村地区的许多儿童来说,接触儿科喘专家是有限的. 障碍包括长时间的旅行时间,专家不接受儿童,以及保险限制,影响护理机会.
科学领域:
- 儿科过敏和免疫学
- 肺部病理学 肺部病理学
- 农村健康差异 农村健康差异
背景情况:
- 患有喘的儿童从过敏学家/免疫学家和儿科肺病学家的专业护理中受益.
- 获得这种专业护理的机会可能受到地理接近,提供者对儿科患者的接受以及保险覆盖的限制.
研究的目的:
- 确定农村国家儿童喘专科护理的地理可用性.
- 评估提供者对儿科患者和医疗补助保险的接受如何影响获得护理.
主要方法:
- 在缅因州及其周边地区对儿科肺病学和过敏/免疫学实践进行了电话调查.
- 收集的数据包括提供者接受儿科患者,缅因州医疗补助保险和预约等待时间. 对整个缅因州的儿童进行了旅行时间分析.
主要成果:
- 在49名喘专家中,84%接受了儿科患者.
- 只有6%的州外提供者接受了缅因州医疗补助保险的儿童,而州内提供者的比例为89%.
- 18%的儿童面临的旅行时间超过60分钟到达喘专家.
结论:
- 缅因州的儿童寻求喘专业护理存在重大障碍,包括旅行距离和提供者接受政策.
- 几乎五分之一的儿童需要超过一个小时的旅行时间,许多医疗机构不接受儿科患者或医疗补助.
- 需要进一步的研究来了解这些进入障碍如何影响儿童的喘管理和结果.
相关概念视频
Specialized Care Centers and Settings-II
689
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
689
Asthma-IV: Nursing Management
2.9K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
2.9K
Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
Assessment of Respiration
1.0K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.0K
Physical Assessment of the Respiratory Tract I: Health History
139
Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
139
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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...
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...
1.3K


