Early activity and impact of a neighbourhood multidisciplinary team that integrates health and social support for underserved children and young people in Birmingham, UK: an observational study.

IF 2.3 4区 医学 Q2 PEDIATRICS
Christopher Bird, Frances Dutton, Simarjeet Kaur, Caroline Wolhuter, Ian Litchfield
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Abstract

Background: The Sparkbrook Children's Zone (SCZ) is an integrated health and social care offer for children and young people (CYP) in an economically marginalised area of Birmingham, UK. This study sought to measure: clinic reach to CYP living in deprivation; proportion of CYP receiving preventive health offers; referral rate to secondary care; proportion of CYP referred to a family support worker.

Methods: Observational study using routinely collected data to evaluate activity and impact of the SCZ. SCZ weekly clinics, embedded in a partner primary care network, are located in Sparkbrook and Balsall Heath East, Birmingham's second most populous ward with a young population, high diversity and high infant mortality. The clinics provide preventive health, clinical care, mental health support and social support to CYP <16 years. UK Health Research Authority approval reference: 25/PR/0168.

Results: From March 2022 to December 2024, 2265 CYP were booked into clinics (93.5% slots taken up); 89% of families were from the bottom Index of Multiple Deprivation quintile.Preventive healthcare: immunisation advice increased from 10.7% in 2023 to 40.2% in 2024; oral health promotion from 29.2% to 46.8%; smoking cessation advice from 1.8% to 12.5%; 97% eligible children received Healthy Start vitamins; 83% had body mass index measured.Clinical care: 73.8% of CYP discharged after seeing General Practitioner/paediatrician, 3.8% referred to secondary care, 14.7% patients were not brought to appointments.Social support: 28.2% of CYP referred to a family support worker. Five top reasons for referral: feeding, behaviour, activities, special educational needs and disabilities, parenting skills.

Conclusion: Initial data suggest preventive health and social support can be successfully integrated in a neighbourhood health offer for CYP living in deprivation, with low referral rates to secondary care.

英国伯明翰一个社区多学科小组的早期活动和影响,该小组为服务不足的儿童和青少年提供健康和社会支持:一项观察性研究。
背景:Sparkbrook儿童区(SCZ)是英国伯明翰经济边缘化地区为儿童和青少年(CYP)提供的综合健康和社会护理。本研究旨在衡量:诊所达到生活贫困的CYP;青少年获得预防性保健服务的比例;二级保健转诊率;经转介给家庭支援工作者的青少年青少年比例。方法:观察性研究,使用常规收集的数据来评估SCZ的活动和影响。SCZ每周诊所嵌入合作伙伴初级保健网络,位于Sparkbrook和Balsall Heath East,这是伯明翰人口第二多的病房,人口年轻,多样性高,婴儿死亡率高。结果:2022年3月至2024年12月,共有2265名青少年在诊所就诊(占座位数93.5%);89%的家庭来自多重剥夺指数最低的五分之一。预防保健:免疫咨询从2023年的10.7%增加到2024年的40.2%;口腔健康促进从29.2%提高到46.8%;戒烟建议从1.8%降至12.5%;97%符合条件的儿童获得了“健康起步”维生素;83%的人测量了身体质量指数。临床护理:73.8%的CYP在看了全科医生/儿科医生后出院,3.8%转介到二级保健,14.7%的患者没有预约。社会支援:28.2%的青少年被转介给家庭支援工作者。转介的五大原因:喂养、行为、活动、特殊教育需要和残疾、养育技能。结论:初步数据表明,预防保健和社会支持可以成功地整合到生活贫困的初级残疾人的社区保健服务中,二级保健转诊率较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Paediatrics Open
BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.10
自引率
3.80%
发文量
124
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