我们错过了什么? 寻求扩大对与健康有关的社会需求的支持
Ryan L Spotts1, Alana N Snyder-Vyas2, Chelsea Emrick1
1Department of Pediatrics, Penn State College of Medicine, Hershey, PA, USA.
Clinical pediatrics
|October 29, 2025
概括
扩展的儿科心理社会查使用每一个孩子的安全环境 (SEEK) 方法识别了所有年龄段儿童的社会需求. 这种方法增加了家庭的资源供应,无论保险类型如何.
科学领域:
- 儿科初级护理 儿科初级护理
- 公共卫生 公共卫生
- 健康的社会决定因素
背景情况:
- 心理社会查在儿科初级保健中不一致地应用,通常不包括年龄较大的儿童.
- 每个孩子的安全环境 (SEEK) 方法通常用于有5岁以下儿童的家庭.
研究的目的:
- 将0-17岁儿童的扩展SEEK方法的查结果和干预措施与其通常用于5岁以下儿童的应用进行比较.
- 评估不同年龄组和保险类型的扩展心理社会查的有效性.
主要方法:
- 一项涉及450名0-17岁儿童的护理人员的横截面研究,这些护理人员在2021年4月至12月期间完成了查.
- 查结果在各个年龄段 (0-5,6-11,12-17) 中使用统计方法进行了比较,包括精确的二项式方法和费舍尔的精确测试.
主要成果:
- 确定的心理社会问题的患病率在各个年龄组是相似的,但压力和滥用物质是显著的例外.
- 与私人保险家庭相比,公开保险的家庭报告了更高的压力和伴侣暴力率.
- 61%的积极查的参与者被提供干预措施.
结论:
- 扩大SEEK方法对0-17岁儿童的社会心理查,提高了社会需求的检测.
- 扩展的SEEK查有助于为所有年龄组和保险类型提供资源,改善儿科初级保健.
- 这项研究强调了普遍心理社会查在识别多样化的家庭需求的重要性.
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