在初级保健中转移的流行,预测因素和调节者
Bridget N Murphy1,2, Amy C Lang3, Constance A Mara1
1Cincinnati Children's Hospital Medical Center, Division of Behavioral Medicine and Clinical Psychology, USA.
Health care transitions
|January 26, 2026
概括
从儿科到成人初级保健的成功过渡是复杂的. 儿科实践可以通过查过渡准备和提供增强的支持来改善患者的结果,特别是专注于患者的行为.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 过渡医学是过渡医学.
- 初级保健研究研究初级保健研究
背景情况:
- 从儿科到成人初级保健的过渡是一个研究不足的领域.
- 影响成功转移到成人护理的关键因素仍然不太清楚.
研究的目的:
- 评估年轻成年人成功转移到成年人初级保健的患病率.
- 确定与成功的护理过渡相关的因素,障碍和促进者.
- 为改善儿科初级保健机构的过渡支持提供建议.
主要方法:
- 一项混合方法研究调查了110名18-22岁的患者,他们参加了儿科初级保健实践.
- 评估转移的流行程度,相关的上下文因素和过渡结构.
- 收集了关于障碍,促进者和转型支持建议的数据.
主要成果:
- 只有45%的样本成功转移到成人初级保健预约.
- 在上下文因素或过渡构造与成功转移之间没有发现显著的关联.
- 常见的障碍包括物流,而提供者和家庭支持则起到了促进者的作用.
结论:
- 过渡行为,如独立的药物管理和预约安排,可能对准备至关重要.
- 儿科初级保健机构应考虑查过渡准备,以优先考虑需要增强支持的患者.
- 建议提前和有针对性的过渡支持以改善结果.
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