通过211电话服务测试一个可扩展的童年不良经历相关护理协调模型
Caryssa Lim Chang1, Paul J Chung1, Hayden Ngan1
1Kaiser Permanente Bernard J. Tyson School of Medicine (C Lim Chang, PJ Chung, H Ngan, L Correa-Mendoza, K Calderon, and LR Thompson), Pasadena, Calif.
Academic pediatrics
|October 29, 2025
概括
连接有孩子的家庭经历不良童年经历 (ACEs) 到211LA护理协调与通常的护理相比,服务推和连接显著增加. 需要进一步的研究来探索长期的健康影响.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 社会工作 社会工作 社会工作
背景情况:
- 童年不良经历 (ACE) 可能会对儿童健康产生负面影响.
- 将患有ACE的家庭与支持服务联系起来,对于减轻有毒压力至关重要.
- 在现实世界中,ACE查和护理协调的有效性需要进一步调查.
研究的目的:
- 通过211LA对儿童接受ACE查的家庭进行电话社区护理协调的有效性进行评估.
- 为了比较211LA+常规护理和单独的常规护理之间的转诊率和服务利用率.
主要方法:
- 一项随机对照试验,涉及南加利福尼亚州ACE儿童 (0-11岁) 的家庭.
- 参与者被随机分配到211LA+常规护理或单独的常规护理.
- 结果,包括推和服务,在基线和大约4个月后使用奇平方测试进行了评估.
主要成果:
- 干预组家庭的转诊率 (86%对17%),机构联系率 (68%对15%) 和服务利用率 (32%对11%) 显著上升.
- 家庭表示对211LA服务的满意度很高.
- 随访时没有观察到家庭或儿童健康结果的显著变化.
结论:
- 211LA的护理协调有效地增加了ACE家庭的服务转介和联系.
- 211LA和类似的服务在ACE查和护理协调方面处于良好地位.
- 建议进行更大,更长期的研究,以评估健康结果的变化.
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