Managing the Health Needs of Vulnerable Children

管理弱势儿童的健康需求

• 批准号: 6441013
• 负责人: MICHAEL SEID
• 金额: $ 9.63万
• 依托单位: RADY CHILDREN'S HOSPITAL - SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-30 至 2003-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6441013
• 关键词: behavioral /social science research tag; child (0-11); clinical research; family; health care quality; health care service evaluation; health care service utilization; health insurance; health services research tag; human subject; interview; medical indigency; medically underserved population; parents; racial /ethnic difference; socioeconomics

Abstract: (Provided by Applicant) There is growing recognition of disparities in access to appropriate and timely care for children. Children are the most diverse stratum of the US population and represent a vulnerable priority population. Improving access to health care and quality of primary care for vulnerable children is of enormous importance for the health of the future US population. Although considerable research has documented the relationship between vulnerability factors and health care processes and outcomes, our knowledge of the mechanisms underlying these disparities is less robust. Using an existing conceptual model, this project will apply qualitative methods to gain insight into the experiences of vulnerable children's families. Specifically, how they define their children's health needs, their decision making regarding where and when to seek care, and their expeniences with care received. Their voices, when heard, can help to define ways that the health care system could become more responsive to the needs of the most vulnerable segments of society. The project's objective is to provide qualitative information about managing the health care needs of vulnerable children in San Diego. The data will be gathered using in depth semi-structured interviews. Twenty five families will be selected from a subsample of the most vulnerable children (n=147) participating in a larger study "Measurmig quality of care for vulnerable children" (HSI 03 17). The interviews will focus on health needs, health care services use (when, where, what type), problems in using care, and proposals for health care services improvement. Quality and credibility of the data will be addressed by carefully defining eligible cases, collecting evidence in support of nival explanations, disciplined field-note taking, searching for negative cases, triangulation in data collection (simultaneously collecting data from multiple sources), distinguishing evidence from interpretation, triangulating analysis (with independent analyses by multiple researchers and subject review), and having thought through and defined the types of data to be collected. Data will be analyzed using the rapid ethnographic assessment approach to generate theories. The results will be used (a) to generate hypotheses for further quantitative research and (b) to inform the design of effective interventions to improve health care delivery to vulnerable children.

摘要：(申请人提供)人们越来越认识到 在获得适当和及时的儿童护理方面存在差距。儿童 是美国人口中最多样化的阶层，代表着弱势群体 优先人口。改善获得卫生保健的机会和初级卫生保健的质量 照顾弱势儿童对儿童的健康非常重要。 未来的美国人口。尽管有相当多的研究证明 脆弱性因素与卫生保健程序和 结果，我们对这些差异背后的机制的了解较少 很健壮。使用现有的概念模型，此项目将应用 用定性的方法洞察弱势群体的经历 孩子们的家庭。具体地说，他们如何定义自己孩子的健康 他们的需求，他们关于何时何地寻求治疗的决策，以及他们的 已收到的费用和照顾。他们的声音，当被听到时，可以帮助定义 卫生保健系统如何能够更好地响应 社会中最脆弱的部分。该项目的目标是提供 关于管理弱势群体卫生保健需求的定性信息 圣地亚哥的孩子们。将使用深度半结构化方式收集数据 采访。将从子样本中选择25个家庭 在一项更大的研究中，最脆弱的儿童(n=147) “衡量弱势儿童的护理质量”(HSI 03 17)。这个 访谈的重点将是卫生需求、卫生保健服务的使用(何时、何地、 什么类型)、使用保健服务存在的问题以及对保健服务的建议 进步。数据的质量和可信度将通过 仔细界定符合条件的案件，收集支持狂欢节的证据 解释，纪律严明的实地笔记，寻找负面案例， 数据采集中的三角测量(同时从多个 资料来源)，区分证据和解释，三角分析 (通过多个研究人员的独立分析和主题审查)，以及 仔细考虑并定义了要收集的数据类型。数据将 使用快速人种学评估方法进行分析，以生成 理论。研究结果将被用来(A)生成进一步的假设 定量研究和(B)为设计有效干预措施提供信息 改善对弱势儿童的卫生保健服务。