Pilot of primary care physician discussion and resource allocation after screening for unintentional injuries and social determinants of health

Pilot of primary care physician discussion and resource allocation after screening for unintentional injuries and social determinants of health
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DOI:
10.1186/s40621-019-0206-y
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发表时间:
2019-01-01
影响因子:
2.2
通讯作者:
Arnold, Melissa Wervey
Arnold, Melissa Wervey
中科院分区:
医学4区
文献类型:
--
作者:
Denny, Sarah;Gittelman, Mike;Arnold, Melissa Wervey

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背景儿科服务提供者使用的标准化筛查工具可以帮助确定儿童的伤害和社会风险。本研究确定基于办公室的质量改进计划是否可以增加有针对性的预期指导和对家庭的社区资源分配。方法从美国儿科学会俄亥俄分会的数据库中自行选择参与质量改进项目的实践。针对意外伤害和社会健康决定因素主题,开发了两种适合年龄的筛查工具、相应的谈话要点和针对 1 岁和 1-5 岁儿童的当地资源。经过一天的学习课程后,实践团队将这些工具应用到儿童的儿童保健探访中
BackgroundStandardized screening tools used by pediatric providers can help determine a child's injury and social risks. This study determined if an office-based quality improvement program could increase targeted anticipatory guidance and community resource distribution to families.MethodsPractices recruited from the Ohio Chapter, American Academy of Pediatrics' database self-selected to participate in a quality improvement project. Two age-appropriate screening tools, corresponding talking points and local resources for birth-1year and 1-5year aged children were developed for unintentional injury and social health determinant topics. After a one-day learning session, practice teams implemented the tools into well-child care visits for children