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首页> 外文期刊>Journal of health communication >Empowering low-income parents with skills to reduce excess pediatric emergency room and clinic visits through a tailored low literacy training intervention.
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Empowering low-income parents with skills to reduce excess pediatric emergency room and clinic visits through a tailored low literacy training intervention.

机译：通过量身定制的低素养培训干预措施，使低收入父母具有减少过多的儿科急诊室和诊所就诊的技能。

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摘要

In this article, we evaluate the impact of a health literacy intervention to decrease emergency room and doctor's office visits for common childhood illness symptoms. Our education model trained low-income parents of young children (9,240 families) at 55 Head Start sites on the use of a low-literacy health book to respond to common childhood illnesses. The overall strategic framework required each Head Start site to create a Health Improvement Project to plan, successfully train, monitor, and keep the momentum through a strong follow-up with families regarding their health care decisions. The study was conducted from 2003 to 2006. Each family was tracked for 3 months prior to the training using self-report, and for 6 months afterward. The average number of emergency room and doctor visits among parents decreased 58% and 41% respectively (p < .001). Further, work days missed by the primary caretaker per year decreased 42%, and school days missed per year decreased 29% (p < .001). During the health literacy intervention, emergency room and doctor visits reported among parents decreased, as well as the number of work days and school days missed per year. Significant cost savings for the health care system can be anticipated through thoughtful broad dissemination of this training model.
机译：在本文中，我们评估了健康素养干预措施对减少常见的儿童疾病症状的急诊室和医生就诊的影响。我们的教育模型在55个启蒙教育基地培训了低收入父母（9,240个家庭），他们使用低素养的健康书来应对常见的童年疾病。总体战略框架要求每个Head Start站点创建一个“健康改善项目”，以通过与家人就其医疗保健决定进行强有力的跟进来计划，成功培训，监控并保持发展势头。该研究于2003年至2006年进行。在训练之前，使用自我报告对每个家庭进行了3个月的追踪，之后进行了6个月的追踪。父母中急诊室和医生就诊的平均次数分别减少了58％和41％（p <.001）。此外，主要看护人每年错过的工作日减少了42％，每年错过的上学日减少了29％（p <.001）。在健康素养干预期间，父母中报告的急诊室和医生就诊人数下降了，而且每年缺勤的工作日和上学天数也减少了。通过深思熟虑地广泛传播这种培训模型，可以预期可以为医疗保健系统节省大量成本。

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