Developmentally appropriate healthcare for young people: a scoping study
Developmentally appropriate healthcare for young people: a scoping study
复制标题
DOI：
10.1136/archdischild-2014-306749
复制
发表时间：
2015-02-01
影响因子：
5.2
通讯作者：
McDonagh, Janet E.
中科院分区：
文献类型：
--
作者：
Farre, Albert;Wood, Victoria;McDonagh, Janet E.
背景越来越多的人认识到提供高质量的医疗保健以满足年轻人的生物心理社会需求的重要性。针对年轻人的“适合发展的保健”（DAH）是用来解释这些服务的一个术语。然而，这个术语的定义仍然不明确。目的(1)分析科学文献中DAH一词的用法；(2)识别和探索与年轻人有关的该术语的含义范围。方法对文献中出现的DAH一词进行范围综述。为了分析DAH术语的使用和含义，使用总结性方法对数据进行定性内容分析。结果选取62篇论文进行内容分析。在数据集中85次使用术语DAH中，只有1次提供了DAH的明确定义，58次使用前缀“发育适宜”中没有提供DAH的明确定义。确定了使用DAH一词与青少年医学、年轻人、慢性病和过渡性护理领域之间的联系；支持DAH使用的核心思想也是如此。结论：在年轻人中使用DAH一词，相关的生命阶段术语和年龄范围标准需要一致性。现在需要就正式概念和业务定义的内容和范围达成协商一致意见。
Background There is increasing recognition of the importance of providing quality healthcare to meet the biopsychosocial needs of young people. 'Developmentally appropriate healthcare' (DAH) for young people is one term used to explain what these services consist of. However, this term remains ill defined.Aims (i) To analyse the use of the term DAH in the scientific literature and (ii) to identify and explore the range of meanings attributed to the term in relation to young people.Methods A scoping review was conducted to map the presence of the term DAH in the literature. To analyse the use and meanings attributed to the DAH terminology, data underwent qualitative content analysis using a summative approach.Results 62 papers were selected and subjected to content analysis. An explicit definition of DAH was provided in only 1 of the 85 uses of the term DAH within the data set and in none of the 58 uses of the prefix 'developmentally appropriate'. A link between the use of the term DAH and the domains of adolescent medicine, young people, chronic conditions and transitional care was identified; as were the core ideas underpinning the use of DAH.Conclusions There is a need for consistency in the use of the term DAH for young people, the related stage-of-life terminology and age range criteria. Consensus is now needed as to the content and range of a formal conceptual and operational definition.