慢性病理和复杂性儿童的识别和分层工具:系统的范围审查
Dorleta Lopez de Suso Martinez de Aguirre1,2, Carlos Martín Gómez3,4, Iñigo de Noriega Echevarría5,3,4
1Paediatric Comprehensive Palliative Care Unit, Niño Jesús University Children's Hospital, Madrid, Spain. dlopezsuso@gmail.com.
European journal of pediatrics
|October 16, 2025
概括
识别和分层患有复杂慢性疾病 (CCC) 的儿童至关重要. 扩展的PedCom工具提供精确,心理测量声音分类,以更好的资源配置和护理途径.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有复杂慢性疾病 (CCC) 的儿童在全球人口中越来越多.
- 不同质的识别和分层方法阻碍了有效的资源管理.
- 需要有效的工具来准确分类和资源分配.
研究的目的:
- 确定用于分层CCC儿童的工具.
- 为了评估这些工具的心理测量特性.
- 评估它们是否适合广泛应用.
主要方法:
- 对六个电子数据库进行了范围审查.
- 在过去十年中发表的文章,专注于0-25岁的年龄,被包括在内.
- 确定了9个工具,其中扩展的PedCom因其属性而被突出.
主要成果:
- 从5,422个初始记录中包含了16篇文章.
- 确定了九种用于对CCC儿童进行分层的工具.
- 扩展的PedCom展示了数值精度,分层能力和出色的心理测量特性.
结论:
- 扩展的PedCom标准化了CCC分类,有助于资源分配和全球比较.
- 整合这些工具可以改善医疗保健系统,确保资源的公平分配和护理途径.
- 推Expanded PedCom,因为它在英语和西班牙语中具有精确性和实用性.
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