一个211呼叫中心的持续有效性与幼儿护理协调
Bergen B Nelson1, Rebecca N Dudovitz2, John A Romley3
1Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia.
Pediatrics
|October 7, 2025
概括
幼儿护理协调改善了24个月以下儿童获得发展服务的机会. 这种干预导致推和更早收到服务的持续增加,特别是对于那些有中等到高发展需求的人.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 早期识别和干预对于改善发育障碍儿童的结果至关重要.
- 尽管已知的好处,但在获取服务方面存在延迟和差异.
- 洛杉矶 (LA) 县2-1-1呼叫中心实施了一项护理协调计划,以解决这些问题.
研究的目的:
- 调查24个月的幼儿护理协调的持续有效性.
- 为了确定干预组的儿童是否比对照组更早获得服务.
主要方法:
- 一个随机试验,涉及11-42个月的儿童,选发育风险.
- 干预组通过211LA接受了护理协调;对照组接受了通常的护理.
- 在12个月和24个月收集的转诊,服务接收和开始日期的数据;使用混合效应物流回归和生存分析进行分析.
主要成果:
- 在24个月后,43%的干预儿童被转诊,28%的儿童接受了服务,而对照组的儿童分别为35%和20%.
- 在干预组中,中等到高发育需求的儿童的入学率明显高 (54%对37.5%).
- 生存分析证实干预组儿童早些时候开始服役.
结论:
- 通过211LA进行护理协调,在基线后的24个月内显示持续有效.
- 该计划的结果是,与通常的护理相比,转诊和服务利用率增加.
- 干预组的孩子们更早地获得了与必要服务的联系.
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