Evans Geoffrey, Franson Shannon, Salem Jessica, Pullins Mekayla, Copher Synthia, Lear Kimberly, Evans Daniel A
Dayton Children's Hospital, OH, USA.
Kettering Health Network, OH, USA.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251358571. doi: 10.1177/21501319251358571. Epub 2025 Sep 4.
To determine whether asthma interventions completed by the community health workers (CHWs) at Dayton Children's Hospital decrease the rate of Emergency Department (ED) visits and hospitalizations.
The data was chosen from the CHW patient population that met the inclusion criteria of at least 1 hospitalization/ED visit or Primary Care Provider referral in the twelve months prior to intervention during 2019 to 2020. The visit rates from 12 months before and after intervention were analyzed with Markov Chain Monte Carlo where the likelihood was assumed to be Poisson.
The number of ED visits decreased by 2 to 4 visits ( < 1e-5) per year per patient on average. This was an 83% decrease in the number of ED visits a year for the total patient population. Hospitalization rates also saw a decrease of 0.1 to 1.5 admissions ( = .006) per year per patient. This showed an overall 77% reduction in hospitalizations for the total patient population.
确定代顿儿童医院的社区卫生工作者（CHW）完成的哮喘干预措施是否能降低急诊科（ED）就诊率和住院率。
数据选自2019年至2020年干预前十二个月内符合至少1次住院/急诊科就诊或初级保健提供者转诊纳入标准的CHW患者群体。采用马尔可夫链蒙特卡罗方法分析干预前后12个月的就诊率，假设可能性为泊松分布。
平均每位患者每年的急诊科就诊次数减少2至4次（<1e - 5）。这使全体患者群体的年度急诊科就诊次数减少了83%。住院率也出现下降，每位患者每年减少0.1至1.5次入院（P = 0.006）。这表明全体患者群体的住院率总体降低了77%。
