一个全卫生系统的方法来解决喘儿童未满足的社会需求
Rachel H F Margolis1, Shayla Stringfield1, Taylor Brewer2
1Center for Translational Research, Children's National Research Institute, Washington, DC.
Hospital pediatrics
|May 13, 2025
概括
在儿科医疗中心实施喘特异性社会需求检查清单时,发现了大量未满足的社会需求负担. 选过程对家庭来说是可以接受的,可行性和可持续性因地点而异.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 住房和经济困难等社会决定因素显著增加了儿科喘发病率和健康差异.
- 虽然一般的社会风险查是常见的,但喘特定的模型和社会需求查 (专注于偏好) 描述较少.
- 现有的文献突出了推动儿童喘健康不平等的社会因素.
研究的目的:
- 使用探索,准备,实施和维持 (EPIS) 框架,描述实施全卫生系统,喘特定社会需求清单的实施情况.
- 评估这种查在城市儿科医疗中心的各种环境中的可行性,可接受性和可持续性.
- 描述患有喘的儿童家庭的社会需求.
主要方法:
- 利用EPIS框架指导实施过程.
- 将现有的社区喘计划的社会需求查扩展到多个临床环境.
- 评估实施结果,包括可行性,可接受性和可持续性,以及记录确定的社会需求.
主要成果:
- 喘特定社会需求清单对家庭来说是可以接受的.
- 实施可行性和可持续性取决于地点,受领导支持和专门人员的影响.
- 在患有喘儿童的家庭中,发现了未满足社会需求的高患病率.
结论:
- 扩大喘特异性社会需求查是可行的和可以接受的,尽管特定地点的因素会影响成功.
- 解决未得到满足的社会需求的巨大负担对于减轻儿科喘差异至关重要.
- 未来的努力应集中在克服实施障碍和评估对患者结果的纵向影响上.
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