利用质量改进设计初级保健幼儿服务导航。

IF 1.2 Q3 PEDIATRICS
Amy L King, Courtney M Brown, Cynthia C White, Kristen A Copeland
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引用次数: 0

摘要

参加高质量幼儿教育可改善教育和健康成果,并可减轻种族和经济差异。儿科医生被鼓励促进幼儿教育,但缺乏时间和知识来有效地帮助家庭。2016年,我们的学术初级保健中心聘请了一名ECE导航员来推广ECE并帮助家庭注册。我们的SMART目标是将方便转介到高质量ECE项目的儿童数量从每月0个增加到15个,并确认一个子集的入学率,到2020年12月31日达到50%的入学率。方法:采用卫生保健改进研究所的改进模型。干预措施包括与欧洲经委会各机构合作进行制度改革(例如,补贴学前选择的互动地图,简化的入学表格),与家庭进行个案管理,以及以人口为基础的方法来了解家庭需求和项目的总体影响。我们在运行图和控制图上绘制了每月便利转诊的数量和登记转诊的百分比。我们使用标准的基于概率的规则来识别特殊原因。结果:促进转诊从每月0例增加到29例,并保持在15例以上。登记转诊的比例在2018年从30%上升到74%,然后在2020年下降到27%,因为大流行期间托儿服务的可获得性下降。结论:我们创新的欧洲经委会伙伴关系改善了获得高质量欧洲经委会的机会。其他临床实践或WIC办公室可以部分或全部采用干预措施,以公平地改善低收入家庭和少数族裔的幼儿经历。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Using Quality Improvement to Design Early Childhood Services Navigation in Primary Care.

Using Quality Improvement to Design Early Childhood Services Navigation in Primary Care.

Using Quality Improvement to Design Early Childhood Services Navigation in Primary Care.

Using Quality Improvement to Design Early Childhood Services Navigation in Primary Care.

Enrollment in high-quality early childhood education (ECE) improves educational and health outcomes and can mitigate racial and economic disparities. Pediatricians are encouraged to promote ECE yet lack the time and knowledge to assist families effectively. In 2016, our academic primary care center hired an ECE Navigator to promote ECE and help families enroll. Our SMART aims were to increase the number of children with facilitated referrals to high-quality ECE programs from 0 to 15 per month and to confirm enrollment on a subset to achieve an enrollment rate of 50% by December 31, 2020.

Methods: We used the Institute for Healthcare Improvement's Model for Improvement. Interventions included system changes in partnership with ECE agencies (eg, interactive map of subsidized preschool options, streamlined enrollment forms), case management with families, and population-based approaches to understand families' needs and the program's overall impact. We plotted the number of monthly facilitated referrals and the percentage of referrals enrolled on run and control charts. We used standard probability-based rules to identify special causes.

Results: Facilitated referrals increased from 0 to 29 per month and remained above 15. The percentage of enrolled referrals increased from 30% to 74% in 2018, then decreased to 27% in 2020 when childcare availability declined during the pandemic.

Conclusions: Our innovative ECE partnership improved access to high-quality ECE. Interventions could be adopted in part or whole by other clinical practices or WIC offices to equitably improve early childhood experiences for low-income families and racial minorities.

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CiteScore
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