向更好的家庭访问:一项混合方法研究,确定幼儿计划交付中的差异,以促进健康公平
Madelene Barboza1, Mattias Wennergren2,3,4, Åsa Nilses5
1Equity and Health Policy Research Group, Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
BMC health services research
|February 3, 2026
概括
这项关于瑞典幼儿家庭访问的研究发现,计划的复制成功,但在交付方面发现了差异,可能会增加不平等. 需要采取战略来解决语言障碍和父母参与,以实现儿童公平发展.
科学领域:
- 儿童发展 儿童发展
- 公共卫生干预 公共卫生干预
- 健康 公平 卫生 公平
背景情况:
- 越来越多地关注幼儿发展和健康公平,推动了家长支持干预措施.
- 在瑞典哥德堡制定了一个扩展的家庭访问计划,以改善社会经济贫困地区的健康公平.
- 对核心组件的忠实性监测对于成功的基于证据的程序复制至关重要.
研究的目的:
- 在扩大早期儿童家庭访问模型的过程中调查家庭访问的交付情况.
- 专注于该计划对社会经济弱势地区健康平等的影响.
- 在程序实施期间评估对核心组件的忠实性.
主要方法:
- 融合混合方法方法使用忠诚度监测问卷.
- 护士和社会工作者在每次家庭访问后都填写了问卷.
- 有针对性的内容分析,其次是用非参数测试进行定量分析.
主要成果:
- 家庭访问内容与原始程序的核心组件紧密结合.
- 专业人士表示对实施,团队合作和家庭联盟的高度满意.
- 挑战包括沟通和家长的参与;有/没有口译员和父母之一/双方出席的差异.
结论:
- 家庭访问计划模型在扩展期间成功复制.
- 在节目交付中观察到的差异威胁到相称的普世主义,并可能增加不平等.
- 克服语言障碍,增强父亲参与度,确保公平分娩的策略至关重要.
相关概念视频
Models of Health Promotion and Illness Prevention II
2.1K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
2.1K
Levels of Health Promotion and Illness Prevention
14.6K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
14.6K
Models of Health Promotion and Illness Prevention I
2.8K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.8K
Introduction To Health Care Delivery System
4.1K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.1K
Equity Theory
301
Equity theory explains how our sense of fairness influences the dynamics of close relationships. Rooted in social psychology, the theory posits that individuals evaluate fairness by comparing the ratio of their contributions to the rewards they receive. Relationship satisfaction is highest when these ratios are perceived as balanced between partners, promoting mutual reciprocity and a sense of justice.Equity vs. Equality in RelationshipsEquity is distinct from equality. Fairness does not...
301
Methods Of Healthcare Delivery System
4.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.2K


