确定不同服务水平的子组对未满足社会护理需求的数字选和服务导航计划的服务响应
James R John1,2,3, Teresa Winata1,4, Si Wang5
1School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia.
PloS one
|January 7, 2026
概括
数字健康工具可能无法有效解决面临重大逆境的弱势家庭未得到满足的需求. 定制的,分层的干预措施对于公平的支持和改善不同社区的健康结果至关重要.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 数字查和导航干预措施在卫生系统中越来越多地使用.
- 它们在有未满足社会护理需求的优先人群中的有效性尚不清楚.
- 干预反应可能因社会人口统计学和心理社会因素而异.
研究的目的:
- 评估数字选和导航模型 (Watch Me Grow-Electronic) 的有效性.
- 根据社会人口统计学和临床因素确定家庭的子组.
- 评估干预的有效性是否在已识别的家族子组之间有所不同.
主要方法:
- 随机对照试验与288名参与者.
- 隐藏类分析以确定家族子组.
- 零膨胀负二项式回归来评估未满足需求的变化.
主要成果:
- 根据文化背景,心理健康,教育,SES和位置确定了三个不同的家庭类别.
- 2类 (教育程度低,心理健康不佳,区域/农村) 与3类 (CALD,高SES,城市) 相比,干预后的未满足需求显著增加.
- 数字干预对脆弱的2类群体没有效果.
结论:
- 数字导航工具可能有利于心理社会逆境较低的家庭.
- 这些工具对于遇到更大的逆境的家庭来说是不够的.
- 需要分层的方法来确保所有家庭得到公平的支持.
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