给低收入儿童提供资源,以促进他们的康复 (GROCERY):随机对照试验的协议
Anne K Jackson1, Kerry Tepe1, Hadley Sauers-Ford1
1Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Journal of hospital medicine
|October 21, 2025
概括
这项研究测试了为有住院儿童的低收入家庭提供财政支持的干预措施. 目标是减少粮食不安全和紧急医疗保健使用,解决儿童健康差异.
科学领域:
- 儿科健康 儿科健康
- 健康差距 研究 研究 研究 研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 社会和结构决定因素显著影响儿童健康差异.
- 儿童住院加剧了低收入家庭的经济压力和粮食不安全.
- 需要有效的干预措施来支持住院后的家庭,改善儿童的健康和福祉.
研究的目的:
- 为了比较退院后的财政支持干预与对住院儿童的低收入家庭的标准护理.
- 在12个月内评估干预措施对粮食不安全和紧急医疗保健再利用的影响.
- 评估二次结果,包括以家庭为中心的措施,初级保健使用和医疗保健成本.
主要方法:
- 一项随机对照试验 (RCT) 涉及400个医院住院儿童 (<18岁) 的家庭,这些儿童在医疗补助计划中注册.
- 干预组每月收到100美元的杂货礼品卡,可使用12个月;对照组收到标准资源.
- 通过调查评估的粮食不安全;通过索赔数据追踪的紧急医疗再利用.
主要成果:
- 初级分析预计将于2027年春季进行.
- 结果将量化干预措施在缓解粮食不安全和减少紧急医疗再利用方面的有效性.
- 二次结果数据将提供对干预影响的全面视图.
结论:
- 这项RCT将确定对低收入家庭的免费后财政支持的有效性.
- 预计这些发现将指导未来的干预,计划和政策,旨在支持弱势家庭和儿童.
- 这项研究旨在为减少儿科人口健康差异的策略提供信息.
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