南卡罗来纳州儿科初级保健模式中的农村/非农村差异的背景:一种混合方法研究
Caitlin Koob1, Kinsey Meggett, Michelle Parisi
1Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, South Carolina (Dr Koob); Department of Public Health Sciences, Clemson University, Clemson, South Carolina (Ms Meggett and Dr Griffin); and Department of Nutritional Sciences, University of Georgia, Athens, Georgia (Dr Parisi).
南卡罗来纳州的许多农村儿童因医疗质量不佳而前往初级保健. 这影响了超重/肥胖儿童的预防性体重管理.
科学领域:
- 小儿初级保健使用率.
- 预防儿童肥胖 预防儿童肥胖
- 农村健康差异 农村健康差异
背景情况:
- 超重和肥胖影响30.7%的美国儿童 (10-17岁),增加健康风险.
- 临床指导方针建议为预防性体重管理经常进行初级保健访问.
- 关于南卡罗来纳州农村初级保健模式和家庭观点的研究有限.
研究的目的:
- 检查医疗补助保险儿童儿科初级保健模式的农村与非农村差异.
- 了解家庭对农村地区儿童初级保健服务的看法.
主要方法:
- 南卡罗来纳州医疗补助申请 (2018-2022) 对22,084名体重相关诊断和初级保健访问的儿童的分析.
- 后勤回归用于评估患者特征与寻求初级保健之间的关联.
- 与12个家庭进行了深入采访,以探索农村初级保健准入的观点.
主要成果:
- 40.54%的儿童被诊断为超重/肥胖.
- 农村地区的儿童,年幼的儿童,非西班牙裔白人儿童和体重健康的儿童更有可能前往初级保健.
- 农村地区影响了护理旅行,种族/种族和体重状况之间的相互作用. 家庭认为旅行的原因是缺乏信任和认为当地医疗保健质量差.
结论:
- 调查结果强调,需要制定量身定制的公共卫生战略,以改善南卡罗来纳州农村地区的儿童和家庭健康结果.
- 解决农村医疗保健质量认知对于有效的预防性护理和体重管理至关重要.
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