儿童初级保健实践中的粮食不安全查和干预策略:一种混合方法研究
Lilianna Suarez1, Greeshma James2, Kimberly Montez3
1Department of Pediatrics, Duke University School of Medicine; Department of Medicine, Duke University School of Medicine.
Academic pediatrics
|December 18, 2025
概括
儿科诊所对粮食不安全 (FI) 进行查,但整合干预和计费是不一致的. 政策改革对于支持有效的FI护理和帮助家庭至关重要.
科学领域:
- 提供医疗保健服务.
- 公共卫生 公共卫生
- 儿科医学 儿科医学 儿科医学
背景情况:
- 粮食不安全 (FI) 是儿科护理的一个重大问题.
- 识别和解决FI的临床实践在全国范围内有所不同.
- 医疗保健政策越来越强制要求FI查和质量指标.
研究的目的:
- 了解儿科诊所当前的食品不安全 (FI) 查和干预实践.
- 探索FI流程高效临床整合的障碍和机会.
- 为更好的FI支持提供政策和支付模式改革的信息.
主要方法:
- 对27家儿科诊所进行了一项全国性的调查.
- 与25家诊所进行的半结构面试探讨了FI实践和政策影响.
- 使用了调查数据的描述性分析和采访主题的快速定性分析.
主要成果:
- 大多数诊所使用饥饿生命体征选FI,并提供资源列表或推.
- 很少有诊所有效地为FI服务编码或收费.
- 确定了各种各样的流程,多层次的障碍,以及政策/支付改革的需要.
结论:
- 儿科诊所已经采用FI查和干预措施,但文件和计费需要简化.
- 针对FI选的绩效指标应纳入提供商的投入,并解决现有的障碍.
- 政策和支付改革对于将FI护理纳入卫生系统至关重要.
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