Buchholz Melissa, Talmi Ayelet
University of Colorado School of Medicine and Children's Hospital Colorado.
Infant Ment Health J. 2012 Jul;33(4):430-436. doi: 10.1002/imhj.21319. Epub 2012 Apr 24.
Healthy Steps for Young Children (HS) is a program designed to enhance pediatric primary care experiences for children birth to 3 years and their families by pairing a developmental specialist with a pediatric provider during well-child visits. This study examined the impact of HS on content discussed during well-child visits by providers, HS Specialists, and families. The impact of HS on pediatric outcomes, including timeliness of well-child visits and immunizations, also was examined. Using retrospective medical review, records of 40 children enrolled in HS were compared with records of 36 demographically matched controls. A developmental topics checklist was used to analyze content of well-child visits. Attendance at well-child visits, receipt of immunizations, and healthcare utilization also was evaluated. Important developmental topics were discussed more often during well-child visits of children enrolled in HS than for children who were not enrolled. Children enrolled in HS received timelier well-child visits and immunizations. No differences between groups were found in the number of sick or emergency room visits. Integrating HS Specialists into pediatric primary care well-child visits allows for discussion of important developmental topics while also impacting pediatric health outcomes.
“健康儿童成长步骤”（HS）项目旨在通过在儿童健康检查期间为儿科医生配备一名发育专家，提升0至3岁儿童及其家庭的儿科初级保健体验。本研究考察了HS项目对医生、HS专家以及家庭在儿童健康检查期间所讨论内容的影响。同时也考察了HS项目对儿科相关结果的影响，包括儿童健康检查和免疫接种的及时性。通过回顾性医学审查，将40名参加HS项目的儿童记录与36名人口统计学特征匹配的对照儿童记录进行比较。使用一份发育主题清单来分析儿童健康检查的内容。还评估了儿童健康检查的出勤情况、免疫接种的接受情况以及医疗保健的使用情况。与未参加HS项目的儿童相比，参加HS项目的儿童在健康检查期间更频繁地讨论重要的发育主题。参加HS项目的儿童能更及时地接受健康检查和免疫接种。两组在生病就诊次数或急诊室就诊次数上未发现差异。将HS专家纳入儿科初级保健健康检查，既能够讨论重要的发育主题，同时也会影响儿科健康结果。
