避免切割并改善健康公平:来自范式转变新生儿养困难模型的研究结果
Inderpreet Kaur Khalsa1, Alyson Pappas2, Margaret Cafferkey2
1School of Medicine, University of California-San Francisco, San Francisco, CA, USA.
概括
新生儿养困难的新模型通过增加语音语言病理学家 (SLP) 和哺乳顾问 (CLC) 的评估和减少切率来改善护理. 这种方法还减少了公共保险的婴儿在护理机会上的差异.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 新生儿护理 新生儿护理
- 健康 公平 卫生 公平
背景情况:
- 新生儿的食困难往往归因于曲,导致断手术的增加,没有强有力的证据.
- 现有的护理模式可能在获得适当养评估方面存在差异,可能导致过度治疗和不公平的护理.
研究的目的:
- 评估一种新模式管理新生儿养困难对临床实践和健康公平的影响.
- 评估护理模式的变化,包括专家转诊和手术干预,在实施修订的食困难模型之后.
主要方法:
- 一项回顾性队列研究比较了在实施新护理模式之前和之后,患有安基洛洛西亚相关诊断的婴儿 (<6个月).
- 分析了儿童医院耳鼻喉科诊所的2017-2024年的数据,重点是认证的语音语言病理学家 (SLP) 和哺乳顾问 (CLC) 的评估,耳鼻喉 (ENT) 访问以及切术率.
- 用多变量逻辑回归和调解分析检查了获得和治疗的社会人口学差异.
主要成果:
- 后模型队列与前模型队列相比,增加了SLP/CLC访问 (50.9%对比0.9%) 和减少了ENT访问 (61.8%对比99.7%) 和切术率 (17.7%对比45.4%).
- 后模型实施消除了基于保险状况或语言的切率差异.
- 调解分析显示,该模型改善了公共保险患者获得SLP/CLC服务的54%的机会.
结论:
- 实施的范式转变模型显著改变了新生儿养困难的临床护理模式,增加了医疗保健专业人员的参与,并降低了切率.
- 该模型通过改善弱势群体获得基本养支持服务,对健康公平产生积极影响.
- 这种方法为优化婴儿养问题的管理提供了一个有希望的策略,同时促进公平的医疗保健服务.
关键词:
安基洛格洛西亚/舌环结合症的管理经过认证的哺乳顾问.弗伦切除术 (Frenotomy) 是一个切除术.卫生公平性健康公平性多学科的新生儿护理协调.新生儿养困难 新生儿养困难语音语言病理学 语言病理学更多相关视频
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