Injury Prevention Guidance in Pediatric Health Supervision

意外伤害是美国儿童可预防死亡的主要原因。非致命性伤害的发生率是儿童发病率很高的原因。在儿科初级保健中，增加对家长的伤害预防指导的范围和质量，是获得减少可预防伤害的健康和经济效益的有希望的策略。虽然儿科医生可以有效地激励父母预防伤害，但在儿科实践中，预见性指导的比例（美国儿科学会推荐在常规健康访问中提供）很低。本研究的目的是检查的程度，内容和动态伤害预防指导（IPG）沟通之间的儿科医生和护理人员作为一个双向过程，在常规儿童健康访问。录音通信的儿科医生-护理人员数据集样本（纵向序列产生36对儿科医生-护理人员和120次就诊）被转录并通过定量和定性方法进行分析。该研究将为未来临床干预措施的开发和设计提供信息，以加强初级儿科护理中伤害预防指导的提供，并减少儿童伤害。这些干预措施将适用于研究所对初级保健伤害预防干预措施可行性的研究。

Unintentional injuries are the leading cause of preventable death among U.S. children. The incidence of nonfatal injuries accounts for a high rate of child morbidity. Increasing the extent and quality of injury prevention guidance to parents in pediatric primary care is a promising strategy to obtain the health and economic benefits of reducing preventable injuries. Although pediatricians can be effective motivators of parents for injury prevention, the rates of anticipatory guidance in pediatric practice (recommended by the American Academy of Pediatrics for delivery at routine health visits) are low. The purpose of this research is to examine the extent, content, and dynamics of injury prevention guidance (IPG) communications between pediatricians and caretakers as a two-way process during routine child health visits. Audio-taped communications of a sample of pediatrician-caretaker data sets (the longitudinal series yielding 36 pediatrician-caretaker pairs and 120 visits) are transcribed and analyzed by quantitative and qualitative methods. The study will provide information for the development and design of future clinically-based interventions to enhance the delivery of injury prevention guidance in primary pediatric care and decrease childhood injuries. The interventions will be applicable to research on the feasibility of injury prevention interventions to primary care by the Institute.