从 HRSA 赠款到医疗实践：改善家庭医学住院医师诊所中儿童和青少年的护理。
From HRSA Grant to Medical Practice: Improving Care for Children and Adolescents in a Family Medicine Residency Clinic.
机构信息
Assistant Professor, Department of Family Medicine, Warren Alpert Medical School of Brown University.
Research Coordinator, Department of Family Medicine, Warren Alpert Medical School of Brown University.
出版信息
R I Med J (2013). 2022 May 2;105(4):57-62.
BACKGROUND
The patient-centered medical home (PCMH) is an ideal primary care model for patients across the lifespan. Family Medicine (FM) practice and training often address adults more than children/adolescents. Few studies describe the efficacy of education programs seeking to enhance PCMH-based care of children/adolescents.
METHODS
At the Brown FM Residency in Pawtucket, Rhode Island (RI), from 2015-2020, we aimed to enhance care of children/adolescents through a HRSA-funded program that enhanced PCMH-based care for children/adolescents and related resident education. Our mixed- methods evaluation assessed learner experiences. Vaccination data assessed patient impact.
RESULTS
119/155 (77%) residents completed surveys over four years and learning and performance improved, especially in PCMH principles and behavorial health (BH) competencies. Vaccination rates improved. Qualitative interviews supported quantitative results.
CONCLUSIONS
Enhancing care for children/adolescents within a FM residency clinic requires a multi-pronged approach. This initiative improved children/adolescents' care and increased residents' learning and performance.
背景
以患者为中心的医疗之家（PCMH）是一种理想的全生命周期患者初级保健模式。家庭医学（FM）实践和培训通常更关注成年人而不是儿童/青少年。很少有研究描述旨在增强基于 PCMH 的儿童/青少年护理的教育计划的效果。
方法
在 2015 年至 2020 年期间，在罗德岛州波塔基特的布朗 FM 居住项目中，我们旨在通过一项 HRSA 资助的计划来增强儿童/青少年的护理，该计划增强了基于 PCMH 的儿童/青少年护理和相关居民教育。我们的混合方法评估评估了学习者的经验。疫苗接种数据评估了患者的影响。
结果
在四年的时间里，119/155（77%）名居民完成了调查，学习和表现都有所提高，尤其是在 PCMH 原则和行为健康（BH）能力方面。疫苗接种率有所提高。定性访谈支持定量结果。
结论
在 FM 居住诊所中增强对儿童/青少年的护理需要多管齐下的方法。这一举措改善了儿童/青少年的护理，并提高了居民的学习和表现。
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