Effectiveness of the Koorliny Moort out-of-hospital health care program for Aboriginal and Torres Strait Islander children in Western Australia
Effectiveness of the Koorliny Moort out-of-hospital health care program for Aboriginal and Torres Strait Islander children in Western Australia
复制标题
DOI：
10.5694/mja15.00827
复制
发表时间：
2016-03-21
影响因子：
11.4
通讯作者：
Edmond, Karen M.
中科院分区：
文献类型：
--
作者：
Cresp, Rebecca;Clarke, Karen;Edmond, Karen M.
目的：为了确定Koorliny Moort计划是否可以减少急诊科的介绍，住院和住院时间，并提高出席在院外预约为原住民和托雷斯海峡岛民儿童在西Australia.Design：儿童参加了该计划从2012年8月1日。每个孩子都是自己的控制对象。2010年8月1日至2014年7月31日收集了评价数据。服务的机会和人的时间天进行了比较，为每个孩子之前和之后转介到program.Setting和参与者：0-16岁的土著儿童居住在三个西澳地区（金伯利，皮尔巴拉，珀斯大都市）谁被转介到Koorliny Moort计划。干预措施：与初级保健提供者的伙伴关系;护士领导的护理协调;以及由儿科医生、护士和社会工作者在儿童家附近提供外展护理。主要结果指标：急诊科介绍;入院;住院时间;结果：共有942名儿童被转介到该方案。转诊至该项目后，急诊科就诊的发生率显著降低（发病率比[IRR]，0.47; 95%CI，0.43-0.53; P
Objectives: To determine whether the Koorliny Moort program could reduce emergency department presentations, hospital admissions and length of stay, and improve attendance at out-of-hospital appointments for Aboriginal and Torres Strait Islander children in Western Australia.Design: Children were enrolled in the program from 1 August 2012. Each child acted as their own control. Evaluation data were collected from 1 August 2010 to 31 July 2014. Occasions of service and person-time in days were compared for each child before and after referral to the program.Setting and participants: Aboriginal children aged 0-16 years residing in three WA regions (Kimberley, Pilbara, Perth metropolitan) who were referred to the Koorliny Moort program.Interventions: Partnerships with primary care providers; nurse-led care coordination; and outreach care by paediatricians, nurses and social workers closer to the home of the child. Main outcome measures: Emergency department presentations; hospital admissions; length of hospital stay; non-attended appointments.Results: A total of 942 children were referred to the program. There were significant decreases after referral to the program in the incidence of emergency department presentations (incident rate ratio [IRR], 0.47; 95% CI, 0.43-0.53; P