在加利福尼亚州NICU出院后,获得早期干预服务的挑战
Marinthea Richter1, Polly Kellner1, Jenny Kwon2
1Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California.
对于早产婴儿来说,获得早期干预 (EI) 服务是一项挑战. 只有49%的婴儿在随访时获得EI,极度早产婴儿更有可能获得护理.
科学领域:
- 新生儿医学 新生儿医学
- 发育儿科 发育儿科
- 公共卫生 公共卫生
背景情况:
- 在新生儿重症监护室 (NICU) 住院期间,早产婴儿在新生儿重症监护室 (NICU) 住院期间会经历早期功能变化.
- 早期干预 (EI) 转诊对于过早产生的婴儿过渡到家中是常见的,但无法保证获得.
- 对于高风险人群来说,了解EI中的服务交付差距至关重要.
研究的目的:
- 在安全网医院的第一个高风险婴儿随访 (HRIF) 预约 (4-8个月校正年龄) 中确定EI接入率.
- 确定与NICU毕业生早产婴儿中EI服务普及相关的因素.
主要方法:
- 189名早产婴儿 (出生 ≤32周估计妊娠年龄) 的回顾性医疗记录审查.
- 2019年1月至2020年11月期间,收集了2019年1月至2020年11月期间参加首次HRIF访问的婴儿的数据.
- 在4-8个月纠正年龄的HRIF任命时记录的EI利用率.
主要成果:
- 49% (92/189) 的婴儿在他们的第一个HRIF预约时接受EI服务.
- 与非常早产婴儿相比,极早产婴儿的EI服务利用率更高 (p=0.005).
- 在婴儿,诊所或EI因素和服务采用之间没有发现其他显著的关系.
结论:
- 对于早产婴儿来说,即使在专门的后续系统中,也不能假定EI服务的成功采用.
- 获得EI服务的持续挑战凸显了NICU出院后高风险婴儿护理的关键差距.
- 需要进行进一步的研究,以了解进入障碍,并评估针对弱势群体的有效EI计划.
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