计划性和行政性障碍对高危婴儿随访护理的影响。
Programmatic and Administrative Barriers to High-Risk Infant Follow-Up Care.
机构信息
Department of Pediatrics (Developmental and Behavioral), Palo Alto Medical Foundation, Los Altos, California.
Department of Pediatrics (Neonatal and Developmental Medicine), Stanford University School of Medicine, Stanford, California.
出版信息
Am J Perinatol. 2018 Aug;35(10):940-945. doi: 10.1055/s-0038-1629899. Epub 2018 Feb 13.
OBJECTIVE
This article characterizes programmatic features of a population-based network of high-risk infant follow-up programs and identifies potential challenges associated with attendance from the providers' perspective.
STUDY DESIGN
A web-based survey of high-risk infant follow-up program directors, coordinators, and providers of a statewide high-risk infant follow-up system. Frequencies and percentages were used to describe the survey responses.
RESULTS
Of the 68 high-risk infant follow-up programs in California, 56 (82%) responded to the survey. The first visit no-show rate between 10 and 30% was estimated by 44% of programs with higher no-show rates for subsequent visits. Common strategies to remind families of appointments were phone calls and mailings. Most programs (54%) did not have a strategy to help families who lived distant to the high-risk infant follow-up clinic.
CONCLUSION
High-risk infant follow-up programs may lack resources and effective strategies to enhance follow-up, particularly for those living at a distance.
目的
本文描述了一个基于人群的高危婴儿随访项目网络的规划特点，并从提供者的角度确定了与就诊相关的潜在挑战。
研究设计
对全州高危婴儿随访系统的高危婴儿随访项目主任、协调员和提供者进行了基于网络的调查。使用频率和百分比来描述调查结果。
结果
在加利福尼亚州的 68 个高危婴儿随访项目中，有 56 个（82%）对调查做出了回应。44%的项目估计首次就诊的失约率在 10%至 30%之间，随后的就诊失约率更高。常见的提醒家庭预约的策略是电话和邮件。大多数项目（54%）没有帮助居住在远离高危婴儿随访诊所的家庭的策略。
结论
高危婴儿随访项目可能缺乏资源和有效的策略来加强随访，特别是对于那些居住在偏远地区的家庭。
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