在西班牙裔儿科人口中,与以患者和家庭为中心的护理相关的因素:二次分析
1Center for Child Health & Policy, UH Rainbow Babies and Children's Hospital, Cleveland, OH; University of South Florida Morsani College of Medicine, Tampa, FL.
Academic pediatrics
|April 10, 2025
概括
西班牙裔儿童接受的患者和家庭为中心的护理 (PFCC) 较少. 保险缺口,非英语主要家庭和缺乏个人医生与这些儿童的低家庭中心照顾 (FCC) 和共享决策 (SDM) 有关.
科学领域:
- 儿科健康公平性问题
- 医疗保健服务研究 医疗服务研究
- 在医疗保健中的文化能力.
背景情况:
- 以患者和家庭为中心的护理 (PFCC) 对最佳的儿童健康结果至关重要.
- 与非西班牙裔儿童相比,西班牙裔儿童在接受PFCC方面经历了记录的差异.
- 识别导致这些差异的因素对于改善护理质量至关重要.
研究的目的:
- 为了确定与美国西班牙裔儿童中PFCC接收率较低相关的特定因素.
- 检查临床医生和实践水平对以家庭为中心的护理 (FCC) 和共享决策 (SDM) 的差异的贡献者.
主要方法:
- 2020-21年全国儿童健康调查数据的二次分析.
- 侧重于美国西班牙裔与非西班牙裔儿童和青少年的横截面研究.
- 权重多变量后勤回归分析,以评估FCC/SDM与共变量之间的关联.
主要成果:
- 有保险差距的西班牙裔儿童患FCC (aOR=0.53) 和SDM (aOR=0.38) 的几率较低.
- 在英语不是主要语言的家庭中,西班牙裔儿童的FCC (aOR=0.68) 和SDM (aOR=0.53) 较低.
- 缺乏个人医生与西班牙裔儿童显著较低的FCC (aOR=0.44) 相关.
结论:
- 对于西班牙裔儿童来说,有限的个人医生和语言适当的服务是PFCC的关键障碍.
- 这些发现表明有针对性的质量改进举措的关键领域.
- 解决这些因素可以帮助减少西班牙裔青年之间的PFCC差异.
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