在综合初级保健中的服务不足的年轻人中,对行为健康服务使用的潜在类分析
Alfonso L Floyd1, Chimereodo Okoroji2, Katrina A Markowicz3
1Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia.
概括
这项研究确定了两组不同的青少年在儿科初级保健中接受行为健康服务:那些需要高度关注混合问题的人和那些注意力需求较低的人. 研究结果支持针对不同年轻人的行为健康需求量身定制的干预措施.
科学领域:
- 儿科行为健康服务.
- 综合护理模式 综合护理模式
- 青少年心理健康类型学
背景情况:
- 在综合儿科初级保健 (IPPC) 中的年轻人往往有未满足的行为健康需求.
- 了解服务使用模式对于定制干预措施至关重要.
- 在IPPC中,占主导地位的黑人和公共保险人口带来了独特的挑战.
研究的目的:
- 在IPPC中识别行为健康服务使用的不同类型.
- 根据需求,倾向和启用决定因素,检查与使用服务相关的因素.
- 在IPPC中为不同的年轻人群提供量身定制的干预信息.
主要方法:
- 在城市IPPC环境中对416名年轻人的潜阶级分析.
- 从护理人员收集的数据使用儿科症状检查清单-17.
- 分析的重点是服务使用的倾向性,需求和支持因素.
主要成果:
- 确定了两类不同的青少年服务用户.
- "高度注意力和混合问题"类:年轻男孩,非私人保险.
- "注意力低下/外化和中度内化问题"类:年长的女孩,私人保险.
结论:
- 这些发现强调了IPPC内部需要专门的行为健康服务.
- 针对性,文化响应的干预措施对于多元化的年轻人来说至关重要.
- 儿科医生和行为健康专家之间的跨学科合作是关键.
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