通过社区参与和质量改善,防止未经计划的青少年怀孕
Elise D Berlan1,2, Angela Abenaim3, Kierra S Barnett4
1Section of Adolescent Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Pediatrics
|March 31, 2025
概括
全国儿童医院 全国儿童医院
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 提高质量 提高科学 提高质量
背景情况:
- 富兰克林县的青少年出生率在2017年为每1000名女性青少年中有20.9人.
- 儿科生命体征 (PVS) 倡议旨在降低这一比例.
- 该倡议于2018年5月启动.
研究的目的:
- 为了加速弗兰克林县青少年出生率的下降.
- 利用内部优势和社区合作.
- 利用基于证据的编程,社区参与和质量改进科学.
主要方法:
- 研究了针对青少年意外怀孕的基于证据的干预措施.
- 启动了避孕准入质量改善协作 (CAC) 计划,以增加避孕处方.
- 通过学校健康教育伙伴关系在社区学校实施全面的性健康教育.
主要成果:
- 富兰克林县青少年出生率显著下降 (2018-2022年).
- 在NCH的青少年女性中,避孕药处方的统计显著增加.
- 自2019年以来,在20所社区中学实施了性健康教育.
结论:
- 一个跨学科的团队使用了质量改进框架.
- 与社区合作伙伴的合作是关键.
- 多种基于证据的计划活动成功降低了青少年出生率.
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