在城市儿科初级保健中对心理和行为健康和社区资源的转介的特征
Nehaly S Patel1,2, Alissa C Huth-Bocks3, Kristin Cipolla2
1UH Rainbow Babies and Children's Hospital, Cleveland, OH.
Journal of developmental and behavioral pediatrics : JDBP
|April 10, 2025
概括
每个孩子的安全环境 (SEEK) 查有效地确定了城市儿科初级保健中的社会和行为健康需求. 这种方法有助于将家庭与基本资源联系起来,改善儿童和家庭的整体福祉.
科学领域:
- 儿科初级护理 儿科初级护理
- 社会和行为健康 社会和行为健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 城市儿科初级保健机构经常遇到家庭的社会和行为健康需求未得到满足.
- 早期识别和干预对于解决这些需求和支持儿童发展至关重要.
研究的目的:
- 检查患者的特征和与转诊相关的实践过程,以获得社会和行为健康资源.
- 在城市儿科实践中评估"每个孩子的安全环境" (SEEK) 查的有效性.
主要方法:
- 从健康儿童访问 (儿童6个月至6岁) 进行的927次安全环境对每个孩子 (SEEK) 查的回顾性图表审查.
- 分析临床医生对阳性查的立即和后来的反应,包括转诊接受.
- 两变量和多变量分析以确定人口统计,查结果和转诊结果之间的关联.
主要成果:
- 对查结果的临床讨论与报告的护理人员压力和抑郁症有关.
- 32.3%的护理人员提供并接受了推;每个额外的压力因素都增加了25%的推接受率.
- 在被推的家庭中,48.5%完成了父母团体,社会需求导航或社会工作的推.
结论:
- 每个孩子的安全环境 (SEEK) 查是确定城市儿科初级保健中的社会和行为健康需求的宝贵工具.
- 这种查有助于为面临社会和行为健康挑战的家庭提供有针对性的支持.
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