潜在的儿科医疗保健因未获得公开社会需求的帮助而导致的后果
Arvin Garg1, Annelise Brochier2, Yorghos Tripodis3
1Child Health Equity Center, Department of Pediatrics, UMass Chan Medical School, UMass Memorial Children's Medical Center, Worcester, MA.
Academic pediatrics
|April 20, 2025
概括
经历"双重损失"的家庭 - - 在没有得到帮助的情况下披露社会需求 - - 较低的健康儿童访问和免疫接种坚持. 这影响了儿科护理和政策.
科学领域:
- 儿科健康 儿科健康
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 社会需求查越来越多地被纳入儿科护理.
- 了解未满足的社会需求对医疗保健利用的影响至关重要.
- "双重损失"的概念凸显了护理提供中的关键差距.
研究的目的:
- 检查"双重损失"与低收入儿童的医疗保健利用之间的关联.
- 评估未满足的社会需求对健康儿童访问 (WCV) 和免疫接种遵守的影响.
主要方法:
- 来自WE CARE干预措施混合有效性实施试验的数据.
- 定义"双重损失"作为社会需求的披露,没有记录的转介.
- 使用后勤回归来比较经历双重损失的家庭和没有经历双重损失的家庭之间的坚持率.
主要成果:
- 40.5%的家庭经历了双重损失.
- 双重损失的家庭报告了较少的社会需求 (0.3对1.5).
- 双重损失家庭的儿童显著降低了WCV (0.40比0.43) 和免疫 (0.79比0.92) 的坚持.
结论:
- 双重损失与显著减少的WCV和免疫坚持有关.
- 这些发现对儿科实践,指导方针和卫生政策具有重要意义.
- 有效地解决未满足的社会需求对于改善儿童健康结果至关重要.
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