提高产后护理的准入:家庭访问参与与产后访问出席之间的关联,使用准实验性研究设计
Rebecca C Fauth1, Chie Kotake2, Beth Buxton3
1Eliot-Pearson Department of Child Study and Human Development, Tufts Interdisciplinary Evaluation Research (TIER), Tufts University, 574 Boston Ave., Suite 106, Medford, MA, 02155, USA. rebecca.fauth@tufts.edu.
BMC public health
|January 20, 2026
概括
早期干预育儿伙伴关系 (EIPP) 计划在21-60天之间增加了51%的产后访问率,在61-90天之间增加了38%. 这种家庭访问支持对于将风险家庭与基本产后护理联系起来至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 早期干预育儿伙伴关系 (EIPP) 是一个多学科的家庭访问计划,面临与怀孕有关的风险的家庭.
- EIPP解决了诸如不充分的产前护理,资源不足,孕产妇抑郁和家庭暴力等因素.
- 该计划旨在改善预期的父母和家庭的健康结果.
研究的目的:
- 检查EIPP参与与出生后90天内接受产后访问之间的关联.
- 根据参与者所接受的产前护理的充分性来分层发现.
- 评估家庭访问计划在改善产后护理获得方面的有效性.
主要方法:
- 匹配的队列研究将611名EIPP参与者 (2013-2017) 与使用粗制精确匹配的出生证明的对比组进行了比较.
- 通过使用医疗保健索赔代码在<21,21-60日和61-90天接受产后访问来衡量结果.
- 产后护理的定义包括医疗保健有效性数据和信息集 (HEDIS) 和一个包含避孕,养和抑郁查的扩展集;加权回归模型分析了差异.
主要成果:
- 使用扩展的定义,EIPP参与者显示出明显更高的产后访问几率:在21-60天之间51%更高的几率 (aOR=1.51) 和在61-90天之间38%更高的几率 (aOR=1.38).
- 在接受不充分的产前护理 (aOR=2.20) 的参与者中,EIPP和产后访问 (21-60天) 之间的关联比获得充分护理 (aOR=1.28) 的参与者更强.
- 仅使用HEDIS定义时,没有观察到产后护理接收的显著差异.
结论:
- 像EIPP这样的家庭访问计划可以通过解决医疗保健准入障碍,有效地增加产后访问的普及率.
- 这种计划对于面临与医疗保健系统连接挑战的个人来说尤为重要.
- 通过确保关键的分娩后支持,EIPP为健康平等和改善出生结果做出了贡献.
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