产前护理协调和在幼儿时代的健康儿童访问接收
1From the Department of Family and Preventive Medicine, Rush Medical College, Rush University, Chicago, IL (DCM). david_mallinson@rush.edu).
Journal of the American Board of Family Medicine : JABFM
|August 11, 2025
概括
参与产前护理协调 (PNCC) 计划与儿童在前两年的健康儿童访问 (WCV) 出勤率增加有关. 这凸显了护理协调在确保家庭持续预防性医疗保健方面的价值.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 威斯康星医疗补助公司的产前护理协调 (PNCC) 计划旨在支持孕妇.
- 了解PNCC对儿科卫生保健利用的影响对于公共卫生倡议至关重要.
研究的目的:
- 评估参与PNCC计划和儿童接受健康儿童访问 (WCVs) 之间的关联.
主要方法:
- 对113,347名儿童的威斯康星州出生记录和医疗补助数据 (2010-2019) 进行了链接.
- 使用后勤回归和兄弟固定效应 (FE) 来分析PNCC接收和WCV出席到4岁.
- 测量PNCC参与 (没有,任何,服务采用) 和WCV接收 (任何,推).
主要成果:
- 兄弟FE回归显示,任何PNCC接收与0-<1 (OR 1.48) 和1-<2 (OR 1.24) 年龄段任何WCV的更高几率有关.
- 在0-<1岁 (或1.35岁) 接受PNCC服务与推的WCV接收相关.
结论:
- 产前护理协调可以提高儿童在生命的前两年WCV的出席率.
- 产科护理协调计划显示了改善家庭预防护理连续性的潜力.
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