在患有控制不良喘的边缘儿童中使用儿科喘专家护理
Emily Aman1, Rachel N White1, Jessica Stern1
1University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
概括
在边缘化的儿童中,喘专业护理的利用不足. 初级保健医生转诊可以改善对患有非控制性喘的年轻人获得指南推的肺病或过敏治疗的机会.
科学领域:
- 儿科喘管理 儿科喘管理
- 医疗保健中的健康差异 医疗保健的获取
- 临床指导方针的实施
背景情况:
- 喘仍然是一个重大的公共卫生问题,特别是在历史上被边缘化的人群中.
- 指南推的专家护理,包括肺病和过敏服务,对于管理失控的喘至关重要.
- 了解专业护理获取障碍和促进因素对于改善弱势儿童的健康结果至关重要.
研究的目的:
- 检查使用指南推的专家护理在历史边缘化的患有非控制喘的儿童中.
- 为了确定与在这个人群中使用专业护理相关的因素.
主要方法:
- 从远程医疗增强喘管理 - 联合提供者 (TEAM-UP) 试验的基线数据的分析.
- 包括来自纽约罗切斯特的4-12岁的325名儿童 (2018-2023年).
- 两变量和多变量分析将专家护理使用与人口统计,喘结果,初级保健医生推和护理人员信仰相关联.
主要成果:
- 仅有16%的儿童在前一年见过专家,尽管喘失控.
- 接受专业护理的孩子年轻,更有可能是西班牙裔,生活在无烟家庭,已婚照顾者,家庭收入更高.
- 初级保健医生的转诊增加了专家护理的可能性,但只有23%的儿童被转诊.
结论:
- 在边缘化社区中,喘专家护理的利用不足.
- 初级保健医生的转诊是改善对患有控制不良喘的弱势青少年获得推专业护理的关键因素.
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