健康的不利社会决定因素和儿童护理协调方面的差距。

IF 1.6 Q3 HEALTH CARE SCIENCES & SERVICES

JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-01-01 Epub Date: 2023-10-19 DOI:10.1097/JAC.0000000000000481

Mangala Rajan, Laura C Pinheiro, Erika L Abramson, Lisa M Kern

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引用次数: 0

摘要

照料协调方面的差距可能对儿童健康产生不利影响。目前尚不清楚健康不良社会决定因素(SDoH)在多大程度上可能影响CC差距。我们使用具有代表性的国家儿童样本来确定暴露于不良SDoH是否与CC出现更大差距有关。医疗保险不足或无医疗保险的儿童(调整后优势比[aOR] = 2.41;95%可信区间[CI]， 2.19-2.66)和生活在弱势社区(aOR = 1.53;95% CI, 1.33-1.75)在CC中存在差距的可能性更高，不良SDoH计数较高的患者也是如此(aOR = 2.17;95% ci, 1.85-2.53)。因此，改善儿童CC的干预措施应考虑不良的SDoH。

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Adverse Social Determinants of Health and Gaps in Care Coordination Among Children.

Gaps in care coordination (CC) can have detrimental impacts on children's health. It is unclear how much adverse social determinants of health (SDoH) may affect CC gaps. We determined whether exposure to adverse SDoH is associated with experiencing more gaps in CC using a representative national sample of children. Children with inadequate or no health insurance (adjusted odds ratio [aOR] = 2.41; 95% confidence interval [CI], 2.19-2.66) and living in disadvantaged neighborhoods (aOR = 1.53; 95% CI, 1.33-1.75) have a higher likelihood of having gaps in CC, as do those with higher counts of adverse SDoH (aOR = 2.17; 95% CI, 1.85-2.53). Thus, interventions to improve CC for children should consider adverse SDoH.

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来源期刊

JOURNAL OF AMBULATORY CARE MANAGEMENT HEALTH CARE SCIENCES & SERVICES-

CiteScore

3.10

自引率

4.30%

发文量

期刊介绍： The Journal of Ambulatory Care Management is a PEER-REVIEWED journal that provides timely, applied information on the most important developments and issues in ambulatory care management.