评估儿童炎症性肠病多学科护理的态度,准入,障碍和促进者
Nicole Davidson1, Jennie G David1, Jennifer L Dotson2
1Nationwide Children's Hospital Columbus Ohio USA.
JPGN reports
|February 16, 2026
概括
儿科提供者重视儿童炎症性肠病 (IBD) 的多学科护理. 然而,领导力支持和提供商可用性等障碍阻碍了访问,因中心规模而异.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医疗保健管理的管理
- 提高质量 提高质量
背景情况:
- 多学科护理对于管理儿科炎症性肠病 (IBD) 至关重要.
- 了解医疗服务提供者对其实施的看法对于优化医疗服务提供至关重要.
研究的目的:
- 评估儿科胃肠病 (GI) 提供者对儿科IBD多学科护理的态度.
- 确定影响多学科护理获取的障碍和促进者.
- 探索多学科护理与中心级特征之间的关系.
主要方法:
- 在美国的ImproveCareNow (ICN) 学习健康系统中,向儿科胃肠道提供者分发了一项横截面调查.
- 数据收集涉及人口统计信息和有关多学科IBD护理方法的问题.
- 统计分析包括描述性统计,奇方位和费舍尔的精确测试.
主要成果:
- 所有接受调查的医疗服务提供者都认识到多学科护理的好处,80%的医疗服务提供者指出患者/家庭对此有意愿.
- 确定的主要障碍是缺乏领导支持 (39%),提供商访问有限 (39%) 和提供商数量不足 (35%).
- 护士 (94%) 和营养师 (92%) 是最常见的团队成员;远程医疗 (94%) 和标准化材料 (84%) 是常见的护理方式. 中心的大小与获得高级从业者和支持服务的相关性.
结论:
- 儿童胃肠道服务提供者对多学科IBD护理持积极看法,认为这是重要的和需要的.
- 在美国ICN中心对多学科护理的准入和障碍存在显著的变化.
- 需要进一步的研究来解决已识别的障碍,并评估多学科护理对儿科IBD结果的影响.
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