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瑞典儿童医疗服务中的团队式访视:一项全国性横断面研究。

Team-based visits within Swedish child healthcare services: a national cross-sectional study.

作者信息

Nygren Ulrika Svea, Tindberg Ylva, Eriksson Leif, Eriksson Hans, Sandberg Håkan, Nordgren Lena

机构信息

Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.

Center for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.

出版信息

J Interprof Care. 2021 Aug 11:1-18. doi: 10.1080/13561820.2021.1902960.

Abstract

Complex healthcare needs can be met through effective interprofessional collaboration. Since 2014, Swedish Child Healthcare Services (CHS) include universal team-based visits with a nurse and a physician who perform such visits at the age of 4 weeks, 6 months, 12 months, and 2.5 to 3 years, as well as targeted team-based visits to address additional needs. The aim of this study was to describe the prevalence of team-based visits in the Swedish CHS and possible associations between team-based visits and contextual factors that may affect its implementation. A national cross-sectional survey was conducted using a web-based questionnaire distributed to all reachable nurses, physicians, and psychologists (n =3,552) engaged in the CHS. Data were analyzed using descriptive statistics and binary and multivariate logistic regressions. The response rate was 32%. Team-based visits were reported by 82% of the respondents. For nurses and physicians, the most frequent indication was specific ages, while for psychologists it was to provide parental support. Respondents working at Family Centers were more likely to perform team-based visits in general, at 2.5 to 3 years and in case of additional needs, compared to respondents working at Child Health Centers (CHC) and other workplaces. In conclusion, team-based visits are well implemented, but the pattern differs depending on the contextual factors. Targeted team-based visits and team-based visits at the age of 2.5 to 3 years are most unequally implemented.

摘要

通过有效的跨专业协作可以满足复杂的医疗保健需求。自2014年以来,瑞典儿童医疗保健服务(CHS)包括由护士和医生进行的基于团队的普遍访视,他们在婴儿4周、6个月、12个月以及2.5至3岁时进行此类访视,此外还包括针对额外需求的基于团队的针对性访视。本研究的目的是描述瑞典儿童医疗保健服务中基于团队访视的普及率,以及基于团队的访视与可能影响其实施的背景因素之间的潜在关联。我们进行了一项全国性横断面调查,使用基于网络的问卷,分发给所有可联系到的从事儿童医疗保健服务的护士、医生和心理学家(n = 3552)。使用描述性统计以及二元和多元逻辑回归分析数据。回复率为32%。82%的受访者报告进行了基于团队的访视。对于护士和医生来说,最常见的访视指征是特定年龄,而对于心理学家来说,则是为家长提供支持。与在儿童健康中心(CHC)和其他工作场所工作的受访者相比,在家庭中心工作的受访者总体上、在孩子2.5至3岁时以及有额外需求时更有可能进行基于团队的访视。总之,基于团队的访视实施良好,但模式因背景因素而异。针对性的基于团队的访视以及在孩子2.5至3岁时进行的基于团队的访视实施最不均衡。

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