Rural and Nonrural Differences in Providing Care for Children With Complex Chronic Conditions
Rural and Nonrural Differences in Providing Care for Children With Complex Chronic Conditions
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DOI：
10.1177/0009922812436884
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发表时间：
2012-05-01
影响因子：
1.6
通讯作者：
Nageswaran, Savithri
中科院分区：
文献类型：
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作者：
Murphy, Kelly L.;Kobayashi, Daisuke;Nageswaran, Savithri
为了更好地了解农村地区的初级保健提供者在为患有复杂慢性病 (CCC) 的儿童提供护理方面面临的挑战，作者对北卡罗来纳州西北部 6 个县的社区环境中的初级保健提供者（N = 132）（包括医生、执业护士和医师助理）进行了横断面调查。儿科诊所位于农村地区的可能性要小得多。与非农村地区的诊所相比，农村地区的诊所规模可能较小，工作人员（优势比 [OR] = 7）和提供者（OR = 15）较少。此外，非农村诊所拥有更多患有 CCC 儿童的客户的可能性是农村诊所的 3 倍。大多数初级保健提供者 (77%) 表示难以照顾患有 CCC 的儿童。需要制定支持初级保健提供者的战略，使他们能够为越来越多的 CCC 儿童提供护理。
To better understand the challenges faced by primary care providers in rural locations in providing care for children with complex chronic conditions (CCC), the authors conducted a cross-sectional survey of primary care providers (N = 132), including physicians, nurse practitioners, and physician assistants, in community settings in 6 counties in northwest North Carolina. Pediatric practices were significantly less likely to be located in rural areas. Practices in rural areas were more likely to be small, with fewer staff members (odds ratio [OR] = 7) and providers (OR = 15) compared with practices in nonrural areas. Additionally, nonrural practices were 3 times as likely as rural practices to have a larger clientele of children with CCC. A majority of primary care providers (77%) reported difficulty caring for children with CCC. Strategies for supporting primary care providers are needed to enable them to provide care for the growing number of children with CCC.