在城市小儿初级保健诊所实施健康步骤的定性评估
Stephanie J Mitchell1, Karan Budala1, Amanda Feinberg2
1Thrive Center for Children, Families, and Communities, Georgetown University, Washington, DC, USA.
Clinical pediatrics
|September 7, 2025
概括
健康步骤+ 增强了儿童早期发展的支持. 主要挑战包括员工留守,但改善侧重于沟通和家长资源.
科学领域:
- 小儿初级保健整合
- 儿童早期发展计划
- 基于证据的预防策略
背景情况:
- 这是一项针对0-3岁儿童的基于证据的预防计划.
- 这项计划已融入儿童初级保健机构.
- 一个增强的健康步骤+计划旨在改善实施.
研究的目的:
- 综合利益相关者对加强的健康步骤+计划的当地实施的反.
- 找出需要改进的领域.
- 加强对有小孩的家庭的支持.
主要方法:
- 从不同利益关方收集定性数据.
- 与HealthySteps+团队成员 (n=14),临床工作人员 (n=15) 和家长顾问 (n=7) 的采访和焦点小组.
- 对反进行主题分析,以确定实施的促进因素和障碍.
主要成果:
- 主要项目包括儿童发展咨询,资源导航和家长心理健康支持.
- 实施的重大挑战包括留住熟练的员工来保持信任关系.
- 利益相关方的反强调了持续沟通和提供者培训的重要性.
结论:
- "健康步骤+"计划为幼儿发展和家庭福祉提供了宝贵的支持.
- 解决员工保留问题和加强沟通对于成功实施方案至关重要.
- 根据反,实施了计划调整,包括改善诊所工作人员的沟通和同行支持.
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