儿童心脏病患者中断门诊护理的特征,使用社会决定因素框架
Katherine Dahlia Boyer1, Sarah de Loizaga2,3, Myra Saeed3
1Division of Neonatology, https://ror.org/00y64dx33Monroe Carell Junior Children's Hospital at Vanderbilt, Nashville, TN, USA.
Cardiology in the young
|December 16, 2025
概括
患有先天性心脏病 (CHD) 的儿童面临社会劣势,包括少数种族/族裔和公共保险,在关键的心脏病护理方面遇到更多的缺陷. 解决健康的社会决定因素是改善结果的关键.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 健康差异 在健康上的差异
- 健康的社会决定因素
背景情况:
- 对于患有先天性心脏病 (CHD) 的儿童,临床结果存在显著差异.
- 健康的社会决定因素 (SDOH) 是这些结果差异的主要贡献者.
- 随访护理对于儿科心脏病患者的长期健康至关重要,并且可能受到SDOH的影响.
研究的目的:
- 通过SDOH的镜头,通过SDOH的镜头来描述在门诊一般儿科心脏病护理中经历失误的人口.
- 为了将这个人口与医院的初级服务区人口进行比较.
主要方法:
- 进行了回顾性图表审查.
- 识别了在门诊一般心脏病护理中缺失的儿童.
- 将数据与辛辛那提儿童医院医疗中心的初级服务区人口进行比较.
主要成果:
- 患有护理缺失的患者不成比例地是西班牙裔/拉丁裔.
- 较高比例的失效患者使用公共保险.
- 患有失误的患者更有可能居住在社会贫困的社区.
结论:
- 少数民族的种族/种族,使用公共保险,以及居住在高度社会贫困地区,与门诊心脏病护理缺失的风险增加有关.
- 这些缺失包括必要的后续护理和初步评估.
- 针对SDOH的干预措施可能是必要的,以减轻儿科心脏病的护理缺口.
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