Can paraprofessional home visitation enhance early intervention service delivery?
Can paraprofessional home visitation enhance early intervention service delivery?
复制标题
专业人员辅助家访能否加强早期干预服务的提供？
DOI：
10.1097/00004703-200208000-00003
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Brown,JeffreyM
中科院分区：
文献类型：
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作者：
Vogler,StephenD;Davidson,ArthurJ;Crane,LoriA;Steiner,JohnF;Brown,JeffreyM
一项为期一年的随机试验比较了强化病例管理(ICM)和基本病例管理(BCM)在促进城市卫生系统中儿童早期干预(EI)服务使用方面的作用。在159个有延迟或高危学龄前儿童的参与家庭中，88个家庭接受了辅助专业人员的ICM，而71个家庭接受了护士提供的较不全面的BCM。在ICM组和BCM组，评估的间隔更短(98比140 d，p=.05)，但相似的评估率(86%比80%，p=.29)。ICM组对每个儿童推荐的服务更多(1.64比1.16，p<；)。004)和发起(1.20比0.85，p<；04)。ICM组和BCM组EI程序启动的中位时间没有差异(228对200 d，p=。88)或EI服务的发起和访问遵从率。仍然需要作出具体努力来改善结果(例如，减少启动时间和增加对教育服务的使用)。
A 1-year randomized trial compared intensive case management (ICM) versus basic case management (BCM) in facilitating early intervention (EI) service use among children in an urban health system. Of 159 participating families with delayed or at-risk preschool-aged children, 88 received ICM from paraprofessionals versus 71 families who received less comprehensive BCM from a nurse. In the ICM versus BCM group, a shorter interval to assessment (98 vs 140 d, p=. 05) but similar assessment rate (86% vs 80%, p=. 29) was observed. The ICM group had more services recommended per child (1.64 vs 1.16, p<. 004) and initiated (1.20 vs 0.85, p<. 04). There was no difference in median time to EI program initiation for ICM versus BCM (228 vs 200 d, p=. 88) or initiation and visit compliance rate for EI services. Specific efforts to improve outcomes (eg, decrease initiation time and increase use of EI services) are still needed.