低强度社会护理和儿童急性医疗保健利用:一项随机临床试验
Stacy Tessler Lindau1, Jennifer A Makelarski2, Victoria A Winslow2
1Department of Ob/Gyn, Medicine-Geriatrics and Palliative Medicine and the Comprehensive Cancer Center, University of Chicago, Chicago, Illinois.
JAMA pediatrics
|April 28, 2025
概括
社区Rx,一个社会护理干预,减少了粮食不安全儿童住院和急诊室的访问. 然而,它并没有提高护理人员在寻找资源方面的自我效能.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
- 儿科医疗保健 儿科医疗保健
背景情况:
- 社会护理干预措施可能会减少急性医疗保健利用率.
- 社区Rx是一个低强度,高规模的社会护理援助计划.
- 评估它对儿科患者及其护理人员的影响至关重要.
研究的目的:
- 评估社区Rx干预的有效性.
- 确定其对医疗保健利用和护理人员自我有效性的影响.
- 分析粮食不安全 (FI) 和粮食安全 (FS) 小组的结果.
主要方法:
- 一个双盲随机临床试验,涉及住院儿童的护理人员.
- 干预组接受了通常的护理加上CommunityRx (教育,资源导航,文本支持).
- 主要结局是护理人员的自我有效性;次要结局包括儿童健康和急症护理访问.
主要成果:
- 该干预措施在粮食不安全子组中显著减少了急诊室的访问和住院.
- 在寻找资源方面,护理人员的自我效能在各组之间没有显著差异.
- 干预措施没有影响食品安全小组的结果.
结论:
- 在儿科住院期间启动的社会护理干预措施可能会减少急性医疗保健使用.
- 在减轻粮食不安全家庭的医疗保健差异方面,CommunityRx显示出希望.
- 需要进一步的研究来提高护理人员的自我有效性结果.
更多相关视频
相关概念视频
01:26Methods Of Healthcare Delivery System
3.1K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.1K
01:30Specialized Care Centers and Settings-II
676
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...
676
01:29Documentation in Long-Term and Home Healthcare Setting
813
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
813
01:16Clinical Trials
6.6K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.6K
01:11Blinding
2.3K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.3K
01:30Specialized Care Centers and Settings-I
889
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
889