Carcillo J A, Diegel J E, Bartman B A, Guyer F R, Kramer S H
University of Pittsburgh, Children's Hospital of Pittsburgh, PA 15213-2583, USA.
J Health Care Poor Underserved. 1995;6(1):23-40. doi: 10.1353/hpu.2010.0260.
Few studies have measured the extent to which expansion of health services for pregnant women and children in poor rural communities improves access to care and health status. This paper describes an underserved rural community in which health care initiatives increased access to comprehensive care. Over a three-year period, use of preventive services increased, whereas emergency room visits and hospitalizations at the community hospital decreased. Low birthweight, risk of congenital syphilis and childhood tuberculosis, and child mortality all decreased. Provision of comprehensive services was met with increased use of preventive health care and improved health outcomes in this rural community.
很少有研究衡量过，贫困农村社区中针对孕妇和儿童的卫生服务扩展在多大程度上改善了医疗服务可及性和健康状况。本文描述了一个医疗服务不足的农村社区，在该社区开展的医疗保健举措增加了获得全面护理的机会。在三年时间里，预防服务的使用率有所提高，而社区医院的急诊就诊和住院人数有所减少。低出生体重、先天性梅毒和儿童结核病风险以及儿童死亡率均有所下降。在这个农村社区，提供全面服务带来了预防性医疗保健使用的增加和健康结果的改善。
