在一个大型儿科护理网络中增加牙漆率:质量改善的努力
Brian P Jenssen1,2,3, Gabrielle DiFiore2, Tyler Doherty3
1Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Pediatrics
|September 17, 2025
概括
一项质量改善干预措施显著提高了儿科初级保健中牙漆的应用,使所有儿童无论其背景如何都受益. 这种可扩展的模型将必要的牙科护理整合到常规儿科访问中.
科学领域:
- 儿科初级护理 儿科初级护理
- 公共卫生 公共卫生
- 提高质量 提高科学 提高质量
背景情况:
- 牙损是影响幼儿的重大公共卫生问题.
- 牙漆的早期应用是一种已被证明的预防性措施,可以预防.
- 基于保险和种族/种族的牙漆应用率存在差异.
研究的目的:
- 在一个大型的儿科初级保健网络中增加牙漆应用率.
- 确保公平地适用于所有儿童,不论其保险或社会人口因素.
- 实施和评估一个质量改进 (QI) 干预的牙漆交付.
主要方法:
- 从2023年7月到2024年10月,实施了一项多方面的,代的QI干预.
- 干预组件包括EHR提示,实践教育,维护认证信用和财务激励.
- 覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架指导评估.
主要成果:
- 牙漆的应用量从3.7%增加到30.5%,超过了20%的目标.
- 改善在不同类型的保险和种族/族群中是一致的.
- 关键的RE-AIM指标显示,覆盖范围,有效性,采用,实施和维护显著增加.
结论:
- 一个全系统的,EHR-enabled QI干预有效地提高了牙漆应用率.
- 该干预表明了可扩展性和牙科护理在儿科环境中广泛整合的潜力.
- 在不同的人口中取得公平的改善,突显了干预措施在减少差距方面的成功.
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